| NPI | 1740774520 |
|---|---|
| Doing Business As | NEW VISION WILDERNESS EAST, LLC |
| Entity Type | Organization |
| Authorized Contact | LAURA BROWN VP Of Revenue Cycle Management 480-999-2358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2023-06-20 |