Shalom Behavioral Care LLC
NPI #1619457785 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1619457785
- Entity Type
- Organization
- Organization Name
- Shalom Behavioral Care LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 18, 2018
- Last Updated
- Aug 28, 2018
Practice Location
- Address
- 35301 N BELGIAN BLUE CT
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85143
- Phone
- (480) 687-0462
Authorized Official
- Name
- ANTHONY VINCENT OLORUNSOLA, FNP -BC
- Title
- NURSE PRACTITIONER
- Phone
- (623) 806-6864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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