Healthcare Provider Details

I. General information

NPI: 1679938278
Provider Name (Legal Business Name): VALOR BEHAVIORAL HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2015
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6613 N SCOTTSDALE RD SUITE 101
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 TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

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