NPI 1073755013

Gila River Indian Community Department of Human Services

Organisation Substance Abuse Rehabilitation Facility Laveen, AZ

Practice location

Address: 3850 N. 16 Street, Laveen, AZ 85339
Phone: (520) 796-3860
Fax: (520) 796-3801
Mailing address: PO Box 602, Laveen, AZ 85339-0602

Authorised official

Name: Glenn Thomas Cummings
Title: Director
Phone: (520) 796-3802

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Arizona →

Registry record

NPI: 1073755013
Entity type: Organization
NPI issued: 6 Apr 2009
Record last updated: 6 Apr 2009

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.