Organization
DOVE IN THE VALLEY LLC
Active
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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