Organization
NEW LIFE WELLNESS FLAGSTAFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DEMASI (DIRECTOR)
(702) 355-2695
Entity
Organization
Contact information
Practice address
399 S MALPAIS LN, FLAGSTAFF, AZ 86001-6269
(702) 355-2695
Mailing address
3104 E CAMELBACK RD # 242, PHOENIX, AZ 85016-4502
(702) 355-2695
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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