New Destiny Health LLC

NPI #1457998551 in Queen Creek, Arizona

Provider Information

NPI Number
1457998551
Entity Type
Organization
Organization Name
New Destiny Health LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Dec 8, 2019
Last Updated
Dec 7, 2020

Practice Location

Address
1072 E DRAGON FLY RD
State
Arizona
ZIP Code
85143
Phone
(480) 522-0566

Authorized Official

Name
MR. JEFF BOLANOS, MD
Title
MEMBER-MANAGER
Phone
(480) 522-0566

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness
Community/Behavioral Health

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