Organization
HOPE LIVES - VIVE LA ESPERANZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KURKOSKI (CEO)
(480) 208-4010
Entity
Organization
Contact information
Practice address
2308 N 4TH ST, FLAGSTAFF, AZ 86004-3709
(480) 208-4010
(602) 388-1567
Mailing address
1551 W VAN BUREN ST, PHOENIX, AZ 85007-2413
(480) 208-4010
(602) 388-1567
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSA13ADHS02123
AZ
Other
Enumeration date
01/06/2014
Last updated
02/08/2023
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