Organization
NEW DYNAMICS BEHAVIORAL HEALTH LLC
Active
Other names
New Dynamics Behavioral Health LLC, N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL FERNANDO PENA N/A (ADMINISTRATOR)
(480) 619-9463
Entity
Organization
Contact information
Practice address
1203 S CENTRAL AVE, PHOENIX, AZ 85323
(480) 619-9463
Mailing address
PO BOX 1447, PHOENIX, AZ 85001-1447
(480) 619-9463
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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