Great Valley Behavioral Homes | |
5420 W Walatowa St Laveen AZ 85339-1316 | |
(480) 232-8260 | |
(160) 222-5220 |
Full Name | Great Valley Behavioral Homes |
---|---|
Speciality | Community/behavioral Health |
Location | 5420 W Walatowa St, Laveen, Arizona |
Authorized Official Name and Position | Cholleta Wanjiru Menja (ADMINISTRATOR) |
Authorized Official Contact | 4802328260 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Great Valley Behavioral Homes 5420 W Walatowa St Laveen AZ 85339-1316 Ph: (480) 232-8260 | Great Valley Behavioral Homes 5420 W Walatowa St Laveen AZ 85339-1316 Ph: (480) 232-8260 |
NPI Number | 1063282911 |
---|---|
Provider Enumeration Date | 01/03/2024 |
Last Update Date | 01/03/2024 |
Certification Date | 01/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063282911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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