NPI 1083499958

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Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Lake Havasu City, AZ

Practice location

Address: 2550 Kiowa Blvd N STE 200, Lake Havasu City, AZ 86403-2631
Phone: (928) 733-5133

Authorised official

Name: Paula Renee Lupo
Title: Owner/Therapist
Phone: (928) 777-5133

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

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Registry record

NPI: 1083499958
Entity type: Organization
NPI issued: 29 Aug 2023
Record last updated: 29 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.