Gila River Health Care Corporation

NPI #1568850329 in Laveen, Arizona

Provider Information

NPI Number: 1568850329
Entity Type: Organization
Organization Name: Gila River Health Care Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: GILA RIVER HEALTH CARE CORPORATION
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jan 2, 2015
Last Updated: Jan 2, 2015

Practice Location

Address: 142226 S 53RD AVE
City: Laveen
State: Arizona
ZIP Code: 85339
Phone: (602) 528-1200

Authorized Official

Name: MR. STEVE H WILLIS, LPC
Title: INTERIM DIRECTOR
Phone: (602) 528-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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