Organization
NEW LIFE ADULT BEHAVIORAL SERVICES
Active
Organization
NEW LIFE ADULT BEHAVIORAL SERVICES
Active
Other names
New Life Adult Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK D DAVIS (OWNER)
(702) 984-8172
Entity
Organization
Contact information
Practice address
1827 W POLLACK ST, PHOENIX, AZ 85041-6688
(702) 984-8172
Mailing address
1820 W NELSON AVE, N LAS VEGAS, NV 89032-3754
(702) 984-8172
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up