Organization · NPI-2

New Destiny Healing Arts Center

Clinic/Center, Mental Health (Including Community Mental Health Center) · Bullhead City, AZ

NPI number1932986205
StatusActive
Last updated in NPPESFeb 2, 2024

Details

NPI
1932986205
Entity type
Organization (NPI-2)
Legal business name
New Destiny Healing Arts Center
Organization subpart
No
Enumeration date
Sep 11, 2023
Certification date
Feb 2, 2024
Last updated
Feb 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QM0850X Clinic/Center, Adult Mental Health––
251B00000X Case Management––
251J00000X Nursing Care––

Practice location

1555 Ramar Rd
Bullhead City, AZ 86442-6010

Phone 480-395-0233

Mailing address

8205 S Priest Dr Unit 12451
Tempe, AZ 85284-0175

Authorized official

Sharli Berry
Cco
6027702055

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