Organization
LYFE RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JC KANYEMERA (ADMINISTRATOR)
(971) 777-9288
Entity
Organization
Contact information
Practice address
7025 E 21ST ST, TUCSON, AZ 85710-4733
(520) 404-7379
Mailing address
7025 E 21ST ST, TUCSON, AZ 85710-4733
(520) 404-7379
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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