Organization
GREAT VALLEY BEHAVIORAL HOMES
Active
Parent organization
GREAT VALLEY BEHAVIORAL HOMES
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT VALLEY BEHAVIORAL HOMES
Authorized official
DR. CHOLLETA WANJIRU MENJA DNP,PMHNP-BC (ADMINISTRATOR)
(480) 232-8260
Entity
Organization
Contact information
Practice address
31925 N 125TH AVE, PEORIA, AZ 85383-5675
(480) 232-8260
Mailing address
5723 W PUEBLO AVE, PHOENIX, AZ 85043-6404
(480) 232-8260
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/16/2024
Last updated
11/16/2024
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