Organization
DOVE IN THE VALLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE HORTENSE TIOKOU RN (ADMINISTRATOR)
(480) 616-3858
Entity
Organization
Contact information
Practice address
6812 S 21ST DR, PHOENIX, AZ 85041-6561
(602) 268-6554
Mailing address
5450 W WHITTEN ST, CHANDLER, AZ 85226-7813
(480) 616-3858
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
BH4783
AZ
Other
Enumeration date
03/24/2016
Last updated
10/11/2018
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