| Integro Behavioral Facility | |
|
1501 E Orangewood Ave Bldg C Phoenix AZ 85020-5130 | |
| (602) 535-8200 | |
| (602) 457-2517 |
| Full Name | Integro Behavioral Facility |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1501 E Orangewood Ave Bldg C, Phoenix, Arizona |
| Authorized Official Name and Position | Marco Valerio Canulla (FOUNDER AND CHAIRMAN) |
| Authorized Official Contact | 6025716521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integro Behavioral Facility 1501 E Orangewood Ave Phoenix AZ 85020-5130 Ph: (602) 535-8200 | Integro Behavioral Facility 1501 E Orangewood Ave Bldg C Phoenix AZ 85020-5130 Ph: (602) 535-8200 |
| NPI Number | 1972079747 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 12/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972079747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| 283Q00000X | Psychiatric Hospital | () | Secondary |
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