People of Color Network

NPI #1194706986 in Phoenix, Arizona

Provider Information

NPI Number: 1194706986
Entity Type: Organization
Organization Name: People of Color Network
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Nov 8, 2005
Last Updated: Oct 4, 2011

Practice Location

Address: 77 E.THOMAS ROAD
Address 2: SUITE 230
City: Phoenix
State: Arizona
ZIP Code: 85012-3100
Phone: (602) 253-3084

Authorized Official

Name: MANUEL TOMAS LEON
Title: CHIEF EXECUTIVE OFFICER
Phone: (602) 253-3084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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