Organization
GILA RIVER HEALTH CARE CORPORATION
Active
Parent organization
GILA RIVER HEALTH CARE CORPORATION
Other names
Gila River Health Care SMI Group Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
GILA RIVER HEALTH CARE CORPORATION
Authorized official
MR. STEVE H WILLIS LPC (INTERIM DIRECTOR)
(602) 528-1200
Entity
Organization
Contact information
Practice address
142226 S 53RD AVE, LAVEEN, AZ 85339
(602) 528-1200
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(602) 528-1200
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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