| New Haven Behavioral Health Llc | |
|
2406 S 24th St Ste 100 Phoenix AZ 85034-6863 | |
| (602) 690-2240 | |
| Not Available |
| Full Name | New Haven Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2406 S 24th St Ste 100, Phoenix, Arizona |
| Authorized Official Name and Position | Roderick Coffman (MEMBER) |
| Authorized Official Contact | 6026902240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Haven Behavioral Health Llc 2406 S 24th St Ste 100 Phoenix AZ 85034-6863 Ph: () - | New Haven Behavioral Health Llc 2406 S 24th St Ste 100 Phoenix AZ 85034-6863 Ph: (602) 690-2240 |
| NPI Number | 1538870910 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538870910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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