Healthcare Provider Details

I. General information

NPI: 1114461779
Provider Name (Legal Business Name): HUMAN RESOURCE TRAINING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2016
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 E BROADWAY RD STE 13-19&21
TEMPE AZ
85282-1737
US

IV. Provider business mailing address

2131 E BROADWAY RD STE 14
TEMPE AZ
85282-1737
US

V. Phone/Fax

Practice location:
  • Phone: 480-967-6895
  • Fax: 480-967-4986
Mailing address:
  • Phone: 480-967-6895
  • Fax: 480-967-4986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberOTC6452
License Number StateAZ

VIII. Authorized Official

Name: NANCY POE
Title or Position: CONTRACT ADMINISTRATOR
Credential:
Phone: 520-570-1460