| NPI | 1457998551 |
|---|---|
| Other Name | NEW DESTINY HEALTH |
| Entity Type | Organization |
| Authorized Contact | JEFF BOLANOS Member Manager 480-522-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2020-12-07 |