Integro Health Systems, Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Phoenix, AZ
NPI 1972079747 · NPPES record last updated Dec 28, 2018
Key facts
- NPI
- 1972079747
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- INTEGRO HEALTH SYSTEMS, INC.
- Practice address
- 1501 E Orangewood Ave BLDG C
Phoenix, AZ 85020-5130 - Phone
- (602) 535-8200
- Fax
- (602) 457-2517
- NPI assigned
- Oct 19, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Marco Valerio Canulla, MD
- Title
- Founder and Chairman
- Phone
- (602) 571-6521
National Provider Directory
Locations
1501 E Orangewood Ave
Bldg C
Phoenix, AZ 85020
Phone (602) 535-8200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Psychiatric Hospital | 283Q00000X |
Addresses
Primary practice location
1501 E Orangewood Ave BLDG C
Phoenix, AZ 85020-5130
Mailing address
1501 E Orangewood Ave
Phoenix, AZ 85020-5130
Phone (602) 535-8200
Other names
- Integro Behavioral Facility
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All providers in Phoenix, AZ · Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.