| River Of Life Behavioral Health Services, Llc | |
|
1237 S Val Vista Dr 214 Mesa AZ 85204-6401 | |
| (480) 776-3392 | |
| (480) 396-0532 |
| Full Name | River Of Life Behavioral Health Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1237 S Val Vista Dr, Mesa, Arizona |
| Authorized Official Name and Position | Tunufai Fasi Taase (CHIEF ADMINISTRATOR) |
| Authorized Official Contact | 4807763392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Of Life Behavioral Health Services, Llc 1237 S Val Vista Dr 214 Mesa AZ 85204-6401 Ph: (480) 776-3392 | River Of Life Behavioral Health Services, Llc 1237 S Val Vista Dr 214 Mesa AZ 85204-6401 Ph: (480) 776-3392 |
| NPI Number | 1033414222 |
|---|---|
| Provider Enumeration Date | 01/19/2011 |
| Last Update Date | 01/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033414222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH3707 (Arizona) | Primary |
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