| New Vision Behavioral Health & Wellness Llc | |
|
4732 N 86th Dr Phoenix AZ 85037-1230 | |
| (623) 444-8479 | |
| Not Available |
| Full Name | New Vision Behavioral Health & Wellness Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4732 N 86th Dr, Phoenix, Arizona |
| Authorized Official Name and Position | James R Burrell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6023675345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Vision Behavioral Health & Wellness Llc 7804 W Marlette Ave Glendale AZ 85303-4215 Ph: () - | New Vision Behavioral Health & Wellness Llc 4732 N 86th Dr Phoenix AZ 85037-1230 Ph: (623) 444-8479 |
| NPI Number | 1164829669 |
|---|---|
| Provider Enumeration Date | 11/26/2014 |
| Last Update Date | 02/14/2020 |
| Certification Date | 02/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164829669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH4493 (Arizona) | Primary |
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