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 |