New Destiny Healing Llc | |
2011 W Half Moon Cir San Tan Valley AZ 85142-4461 | |
(626) 710-2595 | |
Not Available |
Full Name | New Destiny Healing Llc |
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Speciality | Community Based Residential Treatment Facility, Mental Illness |
Location | 2011 W Half Moon Cir, San Tan Valley, Arizona |
Authorized Official Name and Position | Jerry Bolanos (MEMBER) |
Authorized Official Contact | 6267102595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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New Destiny Healing Llc 530 E Hunt Hwy Ste 103-188 San Tan Valley AZ 85143-5226 Ph: (626) 710-2595 | New Destiny Healing Llc 2011 W Half Moon Cir San Tan Valley AZ 85142-4461 Ph: (626) 710-2595 |
NPI Number | 1821794454 |
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Provider Enumeration Date | 02/06/2023 |
Last Update Date | 08/27/2024 |
Certification Date | 08/27/2024 |
Identifier | Type | State | Issuer |
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1821794454 | NPI | - | NPPES |
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