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Organization
NEW DIRECTION BEHAVIORAL HEALTH
Active
Organization
NEW DIRECTION BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODETTE MUBALAMA (CEO)
(602) 888-6779
Entity
Organization
Contact information
Practice address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(602) 888-6779
Mailing address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(602) 888-6779
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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