Organization
GREAT VALLEY BEHAVIORAL HOMES
Active
Parent organization
GREAT VALLEY BEHAVIORAL HOMES
Other names
GREAT VALLEY BEHAVIORAL HOMES
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT VALLEY BEHAVIORAL HOMES
Authorized official
DR. CHOLLETA MENJA DNP, PMHNP-BC (ADMINISTRATOR)
(480) 232-8260
Entity
Organization
Contact information
Practice address
6338 W LATONA RD, LAVEEN, AZ 85339-3077
(480) 232-8260
(602) 254-8004
Mailing address
3255 W CARTER RD, PHOENIX, AZ 85041-6227
(480) 232-8260
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
01/03/2024
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