Organization
NEW HORIZONS MH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA SHAW (OWNER)
(213) 248-3048
Entity
Organization
Contact information
Practice address
11 S CENTRAL AVE, PHOENIX, AZ 85004-2524
(213) 248-3048
Mailing address
11 S CENTRAL AVE, PHOENIX, AZ 85004-2524
(213) 248-3048
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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