| Valle Del Sol, Inc. | |
|
4135 S Power Rd Suite 108 Mesa AZ 85212-3624 | |
| (602) 258-6797 | |
| (480) 633-0146 |
| Full Name | Valle Del Sol, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4135 S Power Rd, Mesa, Arizona |
| Authorized Official Name and Position | Carmen Heredia (CEO) |
| Authorized Official Contact | 6022586797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valle Del Sol, Inc. 3877 N 7th St Ste 400 Phoenix AZ 85014-5061 Ph: (602) 258-6797 | Valle Del Sol, Inc. 4135 S Power Rd Suite 108 Mesa AZ 85212-3624 Ph: (602) 258-6797 |
| NPI Number | 1023311743 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023311743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTC-6049 (Arizona) | Secondary |
| 251S00000X | Community/behavioral Health | OTC6049 (Arizona) | Primary |
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