Organization
MARYVALE
Active
Parent organization
MARYVALE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYVALE
Authorized official
MICHELE VALENCIA (BILLING SPECIALIST)
(626) 280-6510
Entity
Organization
Contact information
Practice address
2502 E. HUNTINGTON DR, DUARTE, CA 91010-2221
(626) 263-9133
Mailing address
2502 HUNTINGTON DR, DUARTE, CA 91010-2221
(626) 263-9133
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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