| Hope Lives - Vive La Esperanza | |
|
145 Lake Havasu Ave N Lake Havasu City AZ 86403-5616 | |
| (480) 208-4010 | |
| (602) 388-1567 |
| Full Name | Hope Lives - Vive La Esperanza |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 145 Lake Havasu Ave N, Lake Havasu City, 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 145 Lake Havasu Ave N Lake Havasu City AZ 86403-5616 Ph: (480) 208-4010 |
| NPI Number | 1063850824 |
|---|---|
| Provider Enumeration Date | 06/13/2013 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063850824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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