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Organization

RED MOUNTAIN BEHAVIORAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOSHE LOBL (CEO)
(602) 800-6553
Entity
Organization

Contact information

Practice address
890 W ELLIOT RD STE 103, GILBERT, AZ 85233-5127
(704) 942-1646
Mailing address
890 W ELLIOT RD STE 103, GILBERT, AZ 85233-5127
(704) 942-1646

Taxonomy

Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
BH-4582
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BH-4582
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
04/10/2015
Last updated
08/01/2024
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