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
2451 E PUEBLO AVE, PHOENIX, AZ 85040-1531
(623) 229-4755
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
—
—
Other
Enumeration date
02/14/2020
Last updated
11/27/2021
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