Organization
MARYVALE
Active
Organization
MARYVALE
Active
Parent organization
MARYVALE
Other names
Maryvale Community Based Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYVALE
Authorized official
MICHELLE LYNN CULVER (DIRECTOR OF COMMUNITY BASED)
(626) 263-9133
Entity
Organization
Contact information
Practice address
7600 E. GRAVES AVE, ROSEMEAD, CA 91770-3414
(626) 263-9133
(626) 359-4285
Mailing address
7600 E. GRAVES AVE, ROSEMEAD, CA 91770-3414
(626) 280-6510
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
05/05/2023
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