New Destiny Healing LLC

NPI #1821794454 in San Tan Valley, Arizona

Provider Information

NPI Number
1821794454
Entity Type
Organization
Organization Name
New Destiny Healing LLC
Subpart
Yes (part of a larger organization)
Parent Organization
NEW DESTINY HEALING LLC
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Feb 6, 2023
Last Updated
Aug 27, 2024

Practice Location

Address
2011 W HALF MOON CIR
State
Arizona
ZIP Code
85142-4461
Phone
(626) 710-2595

Authorized Official

Name
JERRY BOLANOS
Title
MEMBER
Phone
(626) 710-2595

Specialties & Taxonomy Codes

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

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