| 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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