Organization
NEW HAVEN BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICK COFFMAN (MEMBER)
(602) 690-2240
Entity
Organization
Contact information
Practice address
2406 S 24TH ST STE 100, PHOENIX, AZ 85034-6863
(602) 690-2240
Mailing address
2406 S 24TH ST STE 100, PHOENIX, AZ 85034-6863
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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