1588764427 PROVIDENCE OF ARIZONA, INC.

Mental Health Clinic/Center (Including Community Mental Health Center)

Active

Basic Information

Organization Name
PROVIDENCE OF ARIZONA, INC.
Enumeration Date
September 22, 2006
Last Update
August 22, 2020
Authorized Official
MR. DAVID HEDGCOCK M.ED
EXECUTIVE DIRECTOR
Phone: (602) 455-4626

Practice Location

Address
3602 W THOMAS RD
PHOENIX, AZ 850194442
Phone
(602) 455-4626
Fax
(602) 455-4624

Mailing Address

Address
620 N CRAYCROFT RD
TUCSON, AZ 857111448
Phone
(520) 747-6676
Fax
(520) 747-6605

Specialties & Taxonomies

Specialty Code Classification License State Primary
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Health (Including Community Mental Health Center)
261QM0801X Clinic/Center BH-2200 AZ Primary

Other Identifiers

Identifier Type State Issuer
796021 05 AZ N/A

Frequently Asked Questions

What is PROVIDENCE OF ARIZONA, INC.'s NPI number?
PROVIDENCE OF ARIZONA, INC.'s NPI number is 1588764427.
Which doctor has NPI number 1588764427?
The doctor with NPI number 1588764427 is PROVIDENCE OF ARIZONA, INC..
What is PROVIDENCE OF ARIZONA, INC.'s practice address?
PROVIDENCE OF ARIZONA, INC.'s practice address is 3602 W THOMAS RD, PHOENIX, AZ, 850194442.
Which doctor practices at 3602 W THOMAS RD, PHOENIX, AZ, 850194442?
PROVIDENCE OF ARIZONA, INC. practices at 3602 W THOMAS RD, PHOENIX, AZ, 850194442.
What is PROVIDENCE OF ARIZONA, INC.'s mailing address?
PROVIDENCE OF ARIZONA, INC.'s mailing address is 620 N CRAYCROFT RD, TUCSON, AZ, 857111448.
What is PROVIDENCE OF ARIZONA, INC.'s phone number?
PROVIDENCE OF ARIZONA, INC.'s phone number is (602) 455-4626.
Who is (602) 455-4626?
(602) 455-4626 is the phone number for PROVIDENCE OF ARIZONA, INC..
What is PROVIDENCE OF ARIZONA, INC.'s specialty?
PROVIDENCE OF ARIZONA, INC.'s specialty is Mental Health Clinic/Center (Including Community Mental Health Center).
What type of doctor is PROVIDENCE OF ARIZONA, INC.?
PROVIDENCE OF ARIZONA, INC. is a Mental Health Clinic/Center (Including Community Mental Health Center).
Is PROVIDENCE OF ARIZONA, INC. a Mental Health (Including Community Mental Health Center)?
Yes, PROVIDENCE OF ARIZONA, INC. is a Mental Health (Including Community Mental Health Center).
Is PROVIDENCE OF ARIZONA, INC. still practicing?
Yes, PROVIDENCE OF ARIZONA, INC. is currently practicing.
Is PROVIDENCE OF ARIZONA, INC. accepting new patients?
PROVIDENCE OF ARIZONA, INC. may be accepting new patients. Please call their office at (602) 455-4626 to inquire about availability.
Is NPI 1588764427 still active?
Yes, NPI 1588764427 is currently active.
Where does PROVIDENCE OF ARIZONA, INC. practice?
PROVIDENCE OF ARIZONA, INC. practices in PHOENIX, AZ.