| NPI | 1093523987 | 
|---|---|
| Doing Business As | NEW DYNAMICS BEHAVIORAL HEALTH LLC | 
| Doing Business As | N/A | 
| Entity Type | Organization | 
| Authorized Contact | MIGUEL FERNANDO PENA Administrator 480-619-9463  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility | 
| Enumeration Date | 2024-12-23 | 
| Last Update Date | 2024-12-23 |