Organization
NEW EMERGENCE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAFE W. DAMON MSW, CSW (PRESIDENT)
(801) 573-7483
Entity
Organization
Contact information
Practice address
KIT CARSON DRIVE, FORT DEFIANCE, AZ 86504
(702) 361-9956
Mailing address
PO BOX 73, FORT DEFIANCE, AZ 86504
(702) 361-9956
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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