Organization
NEW HAVEN COMMUNITIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS NASSER-TAYLOR (CO-OWNER)
(602) 318-4571
Entity
Organization
Contact information
Practice address
4379 W ALLEN ST, LAVEEN, AZ 85339-7974
(602) 318-4571
Mailing address
5138 W ALTA MESA AVE, LAVEEN, AZ 85339-4501
(024) 195-2446
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
01/06/2025
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