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
- City
- Queen Creek
- 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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