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Organization

GREAT VALLEY BEHAVIORAL HOMES

Active
Parent organization
GREAT VALLEY BEHAVIORAL HOMES
Other names
GREAT VALLEY BEHAVIORAL HOMES
Organization subpart
Yes

Provider details

NPI number
Legal business name
GREAT VALLEY BEHAVIORAL HOMES
Authorized official
DR. CHOLLETA MENJA DNP,PMHNP-BC, BHP (ADMINISTRATOR)
(480) 232-8260
Entity
Organization

Contact information

Practice address
5420 W WALATOWA ST, LAVEEN, AZ 85339-1316
(480) 232-8260
(602) 225-2201
Mailing address
5723 W PUEBLO AVE, PHOENIX, AZ 85043-6404
(480) 232-8260
(602) 225-2201

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary

Other

Enumeration date
06/26/2024
Last updated
06/26/2024
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