Organization
RIVER OF LIFE BEHAVIORAL HEALTH SERVICES, LLC
Active
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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