Organization
NEW VISION BEHAVIORAL HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R BURRELL PHD (EXECUTIVE DIRECTOR)
(602) 367-5345
Entity
Organization
Contact information
Practice address
4732 N 86TH DR, PHOENIX, AZ 85037-1230
(623) 444-8479
Mailing address
7804 W MARLETTE AVE, GLENDALE, AZ 85303-4215
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH4493
AZ
Other
Enumeration date
11/26/2014
Last updated
02/14/2020
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