# GREAT VALLEY BEHAVIORAL HOMES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREAT VALLEY BEHAVIORAL HOMES
- **Other names:** GREAT VALLEY BEHAVIORAL HOMES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881439347
- **Legal business name:** GREAT VALLEY BEHAVIORAL HOMES
- **Authorized official:** DR. CHOLLETA MENJA DNP,PMHNP-BC, BHP (ADMINISTRATOR)
- **Authorized official phone:** (480) 232-8260

## Contact information

- **Practice address:** 5420 W WALATOWA ST, LAVEEN, AZ 85339-1316
- **Practice address phone:** (480) 232-8260
- **Practice address fax:** (602) 225-2201
- **Mailing address:** 5723 W PUEBLO AVE, PHOENIX, AZ 85043-6404
- **Mailing address phone:** (480) 232-8260
- **Mailing address fax:** (602) 225-2201

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2024
- **Last updated:** 06/26/2024