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Organization

COLORADO RIVER BEHAVIORAL HEALTH SYSTEM

Active
Other names
Transitional Living Center Recovery
Organization subpart
No

Provider details

NPI number
Authorized official
BROOKE ANNE KEITH (EXECUTIVE)
(305) 720-9249
Entity
Organization

Contact information

Practice address
1340 S 4TH AVE, YUMA, AZ 85364-4626
(641) 494-8110
(928) 782-5701
Mailing address
1340 S 4TH AVE, YUMA, AZ 85364-4626
(928) 261-8668
(928) 782-5701

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSA08ADHS0202
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
090458
AZ
Enumeration date
11/22/2006
Last updated
08/02/2024
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