Organization
NEW HAVEN COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS NASSER-TAYLOR (COO)
(602) 318-4571
Entity
Organization
Contact information
Practice address
4313 W BUIST AVE, LAVEEN, AZ 85339-2053
(602) 318-4571
(855) 202-0685
Mailing address
5138 W ALTA MESA AVE, LAVEEN, AZ 85339-4501
(602) 318-4571
(855) 202-0685
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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