Organization · NPI-2

Rivyve Behavioral Health, INC.

Substance Abuse Rehabilitation Facility · Bullhead City, AZ

NPI number1972146165

StatusActive

Last updated in NPPESJan 18, 2024

Details

NPI: 1972146165
Entity type: Organization (NPI-2)
Legal business name: Rivyve Behavioral Health, INC.
Organization subpart: No
Enumeration date: Oct 21, 2019
Certification date: Jan 18, 2024
Last updated: Jan 18, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
324500000X	Substance Abuse Rehabilitation Facility	–	–	Yes

Practice location

2150 Silver Creek Rd
Bullhead City, AZ 86442-8472

Phone 928-718-4483

Mailing address

1099 E Sunrise Ave
Kingman, AZ 86401-6825

Authorized official

Vance Miller
Cfo / Treasurer
9287184483

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