Organization
GOLDEN WIND GROUP HOMES LLC
Active
Other names
5150 N 15th Ave LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VALENA JORDAN (ADMINISTRATOR)
(602) 782-0216
Entity
Organization
Contact information
Practice address
5150 N 15TH AVE, PHOENIX, AZ 85015-3308
(602) 703-8261
Mailing address
900 S HARRISON ST APT 1, DENVER, CO 80209-5041
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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