| Intermountain Centers For Human Development Inc. | |
|
276 West View Point Drive Nogales AZ 85621 | |
| (520) 281-0678 | |
| (520) 281-0772 |
| Full Name | Intermountain Centers For Human Development Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 276 West View Point Drive, Nogales, 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. 276 West View Point Drive Nogales AZ 85621 Ph: (520) 281-0678 |
| NPI Number | 1336696657 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 10/09/2020 |
| Certification Date | 10/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336696657 | NPI | - | NPPES |
| 185236 | Medicaid | AZ | |
| OTC7773 | Other | AZ | ADHS/BMFL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTC7773 (Arizona) | Primary |
Community Intervention Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Blvd Del Rey David, Nogales, AZ 85621 Phone: 520-394-7400 Fax: 520-377-9596 | |
Arizona's Children Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1860 N State Dr, Ste. 6, Nogales, AZ 85621 Phone: 602-234-3733 Fax: 602-234-1252 | |
Construyendo Circulos De Paz, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1859 N Grand Ave, Suites 3 & 4, Nogales, AZ 85621 Phone: 520-281-0579 Fax: 520-281-0493 | |
Bejarano Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1790 N Mastick Way, Suite D, Nogales, AZ 85621 Phone: 520-313-3476 Fax: 520-377-8279 | |
Alliance Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1790 N Mastick Way, Suite A, Nogales, AZ 85621 Phone: 520-281-0009 Fax: 520-281-0009 | |
Talk Through It Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Kino Springs Dr Apt C, Nogales, AZ 85621 Phone: 520-216-4094 |