Organization
RIVER OF LIFE BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TUNUFAI FASI TAASE N/A (CHIEF ADMINISTRATOR)
(480) 776-3392
Entity
Organization
Contact information
Practice address
1237 S VAL VISTA DR, 214, MESA, AZ 85204-6401
(480) 776-3392
(480) 396-0532
Mailing address
1237 S VAL VISTA DR, 214, MESA, AZ 85204-6401
(480) 776-3392
(480) 396-0532
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH3707
AZ
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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