Healthcare Provider Details

I. General information

NPI: 1073237848
Provider Name (Legal Business Name): NEW DAY WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7030 W OAKLAND ST STE 101
CHANDLER AZ
85226-2401
US

IV. Provider business mailing address

7030 W OAKLAND ST STE 101
CHANDLER AZ
85226-2401
US

V. Phone/Fax

Practice location:
  • Phone: 480-248-9620
  • Fax:
Mailing address:
  • Phone: 480-248-9620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: RIA TYLER
Title or Position: DIRECTOR
Credential:
Phone: 708-970-4019