Organization
MINDVISTA LLC
Active
Other names
MindVista Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
HIRENKUMAR DUDHAT (OWNER)
(626) 747-3424
Entity
Organization
Contact information
Practice address
7418 S 28TH PL, PHOENIX, AZ 85042-7171
(626) 747-3424
Mailing address
7418 S 28TH PL, PHOENIX, AZ 85042-7171
(626) 747-3424
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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