Great Valley Behavioral Homes
Community/Behavioral Health in Laveen, AZ. Organization (NPI-2).
NPI number1063282911
StatusActive
Last updated in NPPESJan 3, 2024
Details
- NPI
- 1063282911
- Entity type
- Organization (NPI-2)
- Legal business name
- Great Valley Behavioral Homes
- Organization subpart
- Yes
- Enumeration date
- Jan 3, 2024
- Certification date
- Jan 3, 2024
- Last updated
- Jan 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Great Valley Behavioral Homes (Doing Business As)
Practice location
5420 W Walatowa StLaveen, AZ 85339-1316
Phone 480-232-8260 · Fax 160-222-5220
Mailing address
5420 W Walatowa StLaveen, AZ 85339-1316
Phone 480-232-8260 · Fax 160-222-5220
Authorized official
Cholleta Wanjiru Menja
Administrator
4802328260
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All 39 Community/Behavioral Health Agency providers in Laveen · All 764 providers in Laveen
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