NPI | 1295479244 |
---|---|
Doing Business As | THE NEWSTART INTEGRATED HEALTH CLINIC LLC |
Entity Type | Organization |
Authorized Contact | ANALIZA DE PEDRO Member 602-358-9175 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC1900X Psychologist, Counseling | |
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
Enumeration Date | 2022-04-26 |
Last Update Date | 2022-09-18 |