| New Haven Communities, Llc | |
|
5142 W Alta Mesa Ave Laveen AZ 85339-4501 | |
| (602) 419-5244 | |
| Not Available |
| Full Name | New Haven Communities, Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 5142 W Alta Mesa Ave, Laveen, Arizona |
| Authorized Official Name and Position | Thomas Nasser-taylor (CO-OWNER) |
| Authorized Official Contact | 6024195244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Haven Communities, Llc 5138 W Alta Mesa Ave Laveen AZ 85339-4501 Ph: (602) 419-5244 | New Haven Communities, Llc 5142 W Alta Mesa Ave Laveen AZ 85339-4501 Ph: (602) 419-5244 |
| NPI Number | 1497436448 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497436448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
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