Organization · NPI-2
A New Day Community Health Center INC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Glendale, AZ
NPI number1588025902
StatusActive
Last updated in NPPESMar 7, 2022
Details
- NPI
- 1588025902
- Entity type
- Organization (NPI-2)
- Legal business name
- A New Day Community Health Center INC
- Organization subpart
- No
- Enumeration date
- Mar 12, 2016
- Certification date
- Mar 7, 2022
- Last updated
- Mar 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 208D00000X | General Practice | – | – |
Practice location
5949 W Northern Ave Ste 105Glendale, AZ 85301-7800
Phone 404-454-9721
Mailing address
3670 N Rancho DrLas Vegas, NV 89130-3174
Phone 404-454-9721
Authorized official
Fran Oshifodunrin
Ceo
4044549721
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