OrganizationActive
People of Color Network
NPI 1194706986 · Adolescent and Children Mental Health Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1194706986
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Manuel Leon, Chief Executive Officer(602) 253-3084
- License
- BH-2585 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
77 E.thomas Road
Suite 230
Phoenix, AZ 85012-3100
Phone: (602) 253-3084
Fax: (602) 253-3732
Approximate (ZIP-level) locationGet directions
Mailing address
77 East Thomas Road
Phoenix, AZ 85012-3100
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2011-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.