Organization
BENCHMARK VALLEY LLC
Active
Parent organization
BENCHMARK VALLEY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENCHMARK VALLEY LLC
Authorized official
TITUS KIMANI MWANGI (OWNER)
(858) 386-6705
Entity
Organization
Contact information
Practice address
5818 W PEDRO LN, LAVEEN, AZ 85339-5243
(858) 386-6705
Mailing address
5625 W EUCLID AVE, LAVEEN, AZ 85339-5247
(858) 386-6705
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
BH5145
AZ
Other
Enumeration date
08/17/2017
Last updated
07/02/2020
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