Provider Demographics
NPI:1467012237
Name:SUN VALLEY SERVICES, INC
Entity Type:Organization
Organization Name:SUN VALLEY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PARHAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-644-9339
Mailing Address - Street 1:2706 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-9227
Mailing Address - Country:US
Mailing Address - Phone:480-644-9339
Mailing Address - Fax:480-644-0141
Practice Address - Street 1:2706 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-9227
Practice Address - Country:US
Practice Address - Phone:480-644-9339
Practice Address - Fax:480-644-0141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty