Organization
A NEW LIFE WELLNESS RETREAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER CLEGG (OWNER)
(646) 899-5270
Entity
Organization
Contact information
Practice address
14414 N 29TH ST, PHOENIX, AZ 85032-5004
(480) 534-7403
Mailing address
14414 N 29TH ST, PHOENIX, AZ 85032-5004
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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