Organization
LIDA REDIRECT ASSIST LLC
Active
Other names
LIDA REDIRECT ASSIST LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOPHIA BURMA (BRAND OFFICER)
(760) 627-0187
Entity
Organization
Contact information
Practice address
2550 W UNION HILLS DR STE 350, PHOENIX, AZ 85027-5187
(760) 627-0187
Mailing address
2550 W UNION HILLS DR STE 350, PHOENIX, AZ 85027-5187
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
11/30/2023
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