Organization
PARADISE VALLEY BEHAVIORAL HEATH INNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GABRIEL CARDOSO (DIRECTOR)
(602) 400-2288
Entity
Organization
Contact information
Practice address
3015 E GELDING DR, PHOENIX, AZ 85032
(602) 400-2288
Mailing address
3015 E GELDING DR, PHOENIX, AZ 85032
(602) 400-2288
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH4530
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH4530
DEPARTMENT OF BEHAVIORAL HEALTH
AZ
Enumeration date
04/12/2016
Last updated
04/12/2016
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