Organization
GREAT VALLEY BEHAVIORAL HOMES
Active
Parent organization
GREAT VALLLEY BEHAVIORAL HOMES
Other names
GREAT VALLEY BEHAVIORAL HOMES
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT VALLLEY BEHAVIORAL HOMES
Authorized official
DR. CHOLLETA WANJIRU MENJA DNP, PMHNP-BC (ADMINISTRATOR)
(480) 232-8260
Entity
Organization
Contact information
Practice address
5420 W WALATOWA ST, LAVEEN, AZ 85339-1316
(480) 232-8260
(160) 222-5220
Mailing address
5420 W WALATOWA ST, LAVEEN, AZ 85339-1316
(480) 232-8260
(160) 222-5220
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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