Healthcare Provider Details

I. General information

NPI: 1528424108
Provider Name (Legal Business Name): VALOR BEHAVIORAL HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2016
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6613 N SCOTTSDALE RD SUITE 200
SCOTTSDALE AZ
85250-7802
US

IV. Provider business mailing address

6613 N SCOTTSDALE RD SUITE 200
SCOTTSDALE AZ
85250-7802
US

V. Phone/Fax

Practice location:
  • Phone: 480-494-5836
  • Fax: 480-494-5719
Mailing address:
  • Phone: 480-494-5836
  • Fax: 480-494-5719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberOTC7537
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License NumberOTC7537
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License NumberOTC7537
License Number StateAZ

VIII. Authorized Official

Name: MARY ELIZABETH SALCEDO
Title or Position: PRESIDENT
Credential:
Phone: 480-494-5836