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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
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