| Pinal Hispanic Council | |
|
275 N Grand Court Plz Nogales AZ 85621-2744 | |
| (520) 466-7765 | |
| (520) 466-4475 |
| Full Name | Pinal Hispanic Council |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 275 N Grand Court Plz, Nogales, Arizona |
| Authorized Official Name and Position | Ralph Varela (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5204667765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinal Hispanic Council Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Pinal Hispanic Council 275 N Grand Court Plz Nogales AZ 85621-2744 Ph: (520) 466-7765 |
| NPI Number | 1841592078 |
|---|---|
| Provider Enumeration Date | 11/19/2010 |
| Last Update Date | 01/03/2020 |
| Certification Date | 01/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841592078 | NPI | - | NPPES |
| 591324 | Medicaid | AZ | |
| OTC5856 | Other | AZ | ADHS/BMFL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH3765 (Arizona) | Primary |
Community Health 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 | |
None 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 | |
Real Talk Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 N Grand Ave Ste 2, Nogales, AZ 85621 Phone: 520-341-3636 Fax: 520-341-3635 | |
Nogales Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 276 West View Point Drive, Nogales, AZ 85621 Phone: 520-281-0678 Fax: 520-281-0772 |