Organization
SUMMIT BHC MESA LLC
Active
Other names
Canyon Vista Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GILBERT (CHIEF LEGAL OFFICER)
(615) 716-4924
Entity
Organization
Contact information
Practice address
846 N CENTER ST., MESA, AZ 85201-4201
(480) 464-5764
(480) 834-5372
Mailing address
860 N CENTER ST, MESA, AZ 85201-4201
(480) 464-5764
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
11/04/2025
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