Organization
NEW VISION BEHAVIORAL HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE MASON (ADMINISTRATOR)
(623) 229-4755
Entity
Organization
Contact information
Practice address
3119 N 46TH DR, PHOENIX, AZ 85031-3705
(602) 367-5345
Mailing address
4409 N 179TH DR, GOODYEAR, AZ 85395-5201
(623) 229-4755
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
08/10/2020
Last updated
06/28/2024
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