Organization
PARADISE VALLEY BEHAVIORAL HEALTH
Active
Parent organization
PARADISE VALLEY BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARADISE VALLEY BEHAVIORAL HEALTH
Authorized official
DAVID CARDOSO (PROGRAM DIRECTOR / OWNER)
(602) 400-2288
Entity
Organization
Contact information
Practice address
13401 N 30TH ST, PHOENIX, AZ 85032-6028
(602) 400-2288
(602) 996-1577
Mailing address
3015 E GELDING DR, PHOENIX, AZ 85032-5032
(602) 400-2288
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH5158
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5158
DEPARTMENT OF BEHAVIORAL HEALTH
AZ
Enumeration date
10/18/2017
Last updated
10/18/2017
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