| Intermountain Centers For Human Development Inc. | |
|
1821 N Trekell Rd Ste 1 Casa Grande AZ 85122-1705 | |
| (520) 426-4289 | |
| (520) 421-0792 |
| Full Name | Intermountain Centers For Human Development Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1821 N Trekell Rd Ste 1, Casa Grande, Arizona |
| Authorized Official Name and Position | Rose Lopez (CEO) |
| Authorized Official Contact | 5207211887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermountain Centers For Human Development Inc. Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Intermountain Centers For Human Development Inc. 1821 N Trekell Rd Ste 1 Casa Grande AZ 85122-1705 Ph: (520) 426-4289 |
| NPI Number | 1659827707 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 10/09/2020 |
| Certification Date | 10/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659827707 | NPI | - | NPPES |
| 202452 | Medicaid | AZ | |
| OTC7774 | Other | AZ | ADHS/BMFL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTC7774 (Arizona) | Primary |
Community Bridges, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 E Cottonwood Ln Ste 140, Casa Grande, AZ 85122 Phone: 520-426-0088 Fax: 480-775-2420 | |
Higher Heights Human Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 W Cottonwood Ln Ste 5-6, Casa Grande, AZ 85122 Phone: 702-772-5488 | |
Horizon Human Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 N. Arizola Rd, Casa Grande, AZ 85222 Phone: 520-421-2543 Fax: 520-421-1032 | |
Blue Bell Management Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 1st St, Casa Grande, AZ 85122 Phone: 520-375-2682 | |
Sun Life Family Health Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122 Phone: 520-836-3446 Fax: 520-836-8807 | |
Building Overcomers Wellness Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1821 N Trekell Rd, Casa Grande, AZ 85122 Phone: 623-522-2693 | |
Intermountain Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 N Trekell Rd Ste 102, Casa Grande, AZ 85122 Phone: 520-721-1887 Fax: 520-721-0069 |