NPI:
1871128520
Provider Name:
SUMMIT BHC MESA LLC
Doing Business As: CANYON VISTA RECOVERY CENTER
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
860 N CENTER ST BLDG 1-3
MESA, AZ
ZIP 85201
Phone:
(480) 464-5764
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SUMMIT BHC MESA LLC is a rehabilitation and substance use disorder clinic center in Mesa, AZ. SUMMIT BHC MESA LLC NPI is 1871128520. The provider is registered as an organization entity type.
The provider Is Doing Business As Canyon Vista Recovery Center.
The provider's business location address is:
860 N CENTER ST BLDG 1-3
MESA, AZ
ZIP 85201-201
Phone: (480) 464-5764
The provider's authorized official is Paul Gilbert .
The authorized official title is Chief Legal Officer and has the following contact phone number (615) 716-4924.
The enumeration date for this NPI number is 3/3/2020 and was last updated on 9/28/2023.