Organization
GINAPED HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINA MANGA (CEO)
(301) 793-4596
Entity
Organization
Contact information
Practice address
6908 W BETH DR, LAVEEN, AZ 85339-5526
(301) 793-4596
Mailing address
6908 W BETH DR, LAVEEN, AZ 85339-5526
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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