Organization
VALLEY MENTORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERMAINE JORDAN (CO-OWNER)
(602) 586-9992
Entity
Organization
Contact information
Practice address
5761 E BROWN RD, MESA, AZ 85205-4400
(602) 586-9992
Mailing address
20 W 1ST ST, MESA, AZ 85201-6653
(602) 586-9992
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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