OrganizationActive
Benchmark Valley LLC
NPI 1679030076 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Laveen, AZ
Provider details
- NPI number
- 1679030076
- 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
4522 W Branham Ln
Laveen, AZ 85339-7315
Phone: (858) 386-6705
Approximate (ZIP-level) locationGet directions
Mailing address
5625 W Euclid Ave
Laveen, AZ 85339-5247
Additional practice locations (1)
- 6928 W Carson RdLaveen, AZ 85339-7028Phone: (858) 386-6705
Registry dates
- Enumerated
- 2019-02-22
- Last updated
- 2020-09-01
- Certified
- 2020-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.