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
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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