Organization · NPI-2
A New Path Recovery, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Phoenix, AZ
NPI number1093433872
StatusActive
Last updated in NPPESAug 22, 2022
Details
- NPI
- 1093433872
- Entity type
- Organization (NPI-2)
- Legal business name
- A New Path Recovery, LLC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2022
- Certification date
- Aug 22, 2022
- Last updated
- Aug 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
8433 N Black Canyon Hwy Ste 184Phoenix, AZ 85021-4859
Phone 602-402-4474
Mailing address
8433 N Black Canyon Hwy Ste 184Phoenix, AZ 85021-4859
Phone 602-402-4474
Authorized official
Anthony J Bratko
Executive Director
6024024474
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