Organization
JOSIAHS HAVEN YOUTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELLIENA M RIOS-ALVARADO (CEO)
(602) 413-2163
Entity
Organization
Contact information
Practice address
1505 N 25TH ST, MESA, AZ 85213-4109
(602) 413-2163
Mailing address
1505 N 25TH ST, MESA, AZ 85213-4109
(602) 413-2163
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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