# GINAPED HEALTH CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639936388
- **Authorized official:** ANGELINA MANGA (CEO)
- **Authorized official phone:** (301) 793-4596

## Contact information

- **Practice address:** 6908 W BETH DR, LAVEEN, AZ 85339-5526
- **Practice address phone:** (301) 793-4596
- **Mailing address:** 6908 W BETH DR, LAVEEN, AZ 85339-5526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/29/2024
- **Last updated:** 02/29/2024
