Organization
EAST VALLEY TREATMENT CENTER LLC
Active
Organization
EAST VALLEY TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELINA SOMERA (CEO)
(602) 888-6779
Entity
Organization
Contact information
Practice address
912 N JOHN WAY, CHANDLER, AZ 85225-9026
(480) 636-9363
(312) 610-5767
Mailing address
912 N JOHN WAY, CHANDLER, AZ 85225-9026
(480) 636-9363
(312) 610-5767
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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