| New Destiny Healing Llc | |
|
31636 N Cactus Dr San Tan Valley AZ 85143-7242 | |
| (626) 710-2595 | |
| Not Available |
| Full Name | New Destiny Healing Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 31636 N Cactus Dr, 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 |
|---|---|
| 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 31636 N Cactus Dr San Tan Valley AZ 85143-7242 Ph: (626) 710-2595 |
| NPI Number | 1831895465 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831895465 | NPI | - | NPPES |
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