# NEVAEH'S LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174858088
- **Authorized official:** MS. DEE'ANNA MARIE SMALLWOOD (CHIEF ADMINISTION OFFICER)
- **Authorized official phone:** (602) 413-4412

## Contact information

- **Practice address:** 403 W HARWELL RD, PHOENIX, AZ 85041-8034
- **Practice address phone:** (602) 441-3050
- **Mailing address:** 403 W HARWELL RD, PHOENIX, AZ 85041-8034
- **Mailing address phone:** (602) 441-3050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH-3374 | AZ | Yes |

## Other

- **Enumeration date:** 10/09/2009
- **Last updated:** 10/09/2009