Organization
RED MOUNTAIN BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY R KINSEL (MANAGER)
(480) 734-7021
Entity
Organization
Contact information
Practice address
7416 E NAVARRO AVE, MESA, AZ 85209-6267
(480) 641-9552
(480) 981-0893
Mailing address
1223 S CLEARVIEW AVE STE 109, MESA, AZ 85209-3306
(480) 641-9552
(480) 981-0893
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
BH-3639
AZ
Other
Enumeration date
08/19/2006
Last updated
01/04/2011
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