Organization
SELF LOVE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAM KAMURASI MAJUGO (OWNER)
(818) 482-0010
Entity
Organization
Contact information
Practice address
833 W MAIN ST, MESA, AZ 85201-7105
(818) 482-0010
Mailing address
833 W MAIN ST, MESA, AZ 85201-7105
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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