Provider Demographics
NPI:1821542077
Name:CRISIS PREGNANCY CENTERS OF GREATER PHOENIX
Entity Type:Organization
Organization Name:CRISIS PREGNANCY CENTERS OF GREATER PHOENIX
Other - Org Name:CHOICES PREGNANCY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-508-3350
Mailing Address - Street 1:10555 N 58TH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-1360
Mailing Address - Country:US
Mailing Address - Phone:623-486-5232
Mailing Address - Fax:623-486-4355
Practice Address - Street 1:10555 N 58TH DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-1360
Practice Address - Country:US
Practice Address - Phone:623-486-5232
Practice Address - Fax:623-486-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty