Healthcare Provider Details

I. General information

NPI: 1174265961
Provider Name (Legal Business Name): SOCIAL HUMANITY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 04/12/2022
Certification Date: 04/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 W GROVE PKWY APT 154
TEMPE AZ
85283-4412
US

IV. Provider business mailing address

1155 W GROVE PKWY APT 154
TEMPE AZ
85283-4412
US

V. Phone/Fax

Practice location:
  • Phone: 844-742-4620
  • Fax:
Mailing address:
  • Phone: 844-742-4620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MR. JC PATTERSON
Title or Position: FOUNDER/CEO
Credential:
Phone: 480-799-6095