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Organization
THE NEWSTART INTEGRATED HEALTH CLINIC LLC
Active
Organization
THE NEWSTART INTEGRATED HEALTH CLINIC LLC
Active
Other names
The Newstart Integrated Health Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANALIZA DE PEDRO (MEMBER)
(602) 358-9175
Entity
Organization
Contact information
Practice address
2920 N 24TH AVE STE 120&130, PHOENIX, AZ 85015-5947
(602) 358-9175
Mailing address
15213 N 143RD AVE, SURPRISE, AZ 85379-8542
(602) 358-9175
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Enumeration date
04/26/2022
Last updated
09/18/2022
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