Organization
GREAT VALLEY BEHAVIORAL HOMES
Active
Parent organization
CHOLLETA W MENJA
Other names
GREAT VALLEY BEHAVIORAL HOMES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHOLLETA W MENJA
Authorized official
DR. CHOLLETA MENJA (ADMINISTRATOR)
(480) 232-8260
Entity
Organization
Contact information
Practice address
1550 W CARMEN ST, PHOENIX, AZ 85041-3763
(480) 232-8260
(602) 254-8004
Mailing address
1550 W CARMEN ST, PHOENIX, AZ 85041-3763
(480) 232-8260
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
01/04/2024
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