New Destiny Healing LLC
NPI #1831895465 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1831895465
- Entity Type
- Organization
- Organization Name
- 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
- 31636 N CACTUS DR
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85143-7242
- Phone
- (626) 710-2595
Authorized Official
- Name
- MR. 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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