Organization
SURVIVORS EDUCATING LOVING FRIENDS AND FAMILY, INC.
Active
Other names
SELFF, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRISH ANN BLETH (EXECUTIVE DIRECTOR)
(480) 649-3642
Entity
Organization
Contact information
Practice address
340 W UNIVERSITY DR STE 19, MESA, AZ 85201-5827
(480) 649-3642
(480) 668-8919
Mailing address
340 W UNIVERSITY DR STE 19, MESA, AZ 85201-5827
(480) 649-3642
(480) 668-8919
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSA03VO0100
COVERED SERVICE
AZ
Enumeration date
06/19/2006
Last updated
08/22/2020
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