Organization
SURVIVORS EDUCATING LOVING FRIENDS AND FAMILY, INC.
Active
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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