NPI 1285459149
Great Valley Behavioral Homes
Practice location
- Address
- 5610 W Hardtack Trl, Laveen, AZ 85339-1276
- Phone
- (480) 232-8260
- Mailing address
- 5723 W Pueblo Ave, Phoenix, AZ 85043-6404
Authorised official
- Name
- Cholleta Wanjiru Menja
- Title
- Administrator
- Phone
- (480) 232-8260
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1285459149
- Entity type
- Organization
- NPI issued
- 16 Nov 2024
- Record last updated
- 16 Nov 2024
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.