OrganizationActive
Benchmark Valley LLC
NPI 1396310330 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Laveen, AZ
Provider details
- NPI number
- 1396310330
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Titus Mwangi, Administrator(858) 386-6705
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
4630 W Fremont Rd
Laveen, AZ 85339-4277
Phone: (858) 386-6705
Fax: (602) 603-3981
Approximate (ZIP-level) locationGet directions
Mailing address
5625 W Euclid Ave
Laveen, AZ 85339-5247
Registry dates
- Enumerated
- 2021-05-21
- Last updated
- 2021-05-21
- Certified
- 2021-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.