| New Life Adult Behavioral Services | |
|
1827 W Pollack St Phoenix AZ 85041-6688 | |
| (702) 984-8172 | |
| Not Available |
| Full Name | New Life Adult Behavioral Services |
|---|---|
| Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
| Location | 1827 W Pollack St, Phoenix, Arizona |
| Authorized Official Name and Position | Derrick D Davis (OWNER) |
| Authorized Official Contact | 7029848172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Adult Behavioral Services 1820 W Nelson Ave N Las Vegas NV 89032-3754 Ph: (702) 984-8172 | New Life Adult Behavioral Services 1827 W Pollack St Phoenix AZ 85041-6688 Ph: (702) 984-8172 |
| NPI Number | 1992583140 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992583140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
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