| Hope Lives - Vive La Esperanza | |
|
2308 N 4th St Flagstaff AZ 86004-3709 | |
| (480) 208-4010 | |
| (602) 388-1567 |
| Full Name | Hope Lives - Vive La Esperanza |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2308 N 4th St, Flagstaff, Arizona |
| Authorized Official Name and Position | Debra Kurkoski (CEO) |
| Authorized Official Contact | 4802084010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Lives - Vive La Esperanza 1551 W Van Buren St Phoenix AZ 85007-2413 Ph: (480) 208-4010 | Hope Lives - Vive La Esperanza 2308 N 4th St Flagstaff AZ 86004-3709 Ph: (480) 208-4010 |
| NPI Number | 1073935326 |
|---|---|
| Provider Enumeration Date | 01/06/2014 |
| Last Update Date | 02/08/2023 |
| Certification Date | 02/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073935326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSA13ADHS02123 (Arizona) | Primary |
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