Healthcare Provider Details

I. General information

NPI: 1053249169
Provider Name (Legal Business Name): NEW DREAMS RECOVERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 E MCDOWELL RD SUITE 211,213, 215, 217, 219
PHOENIX AZ
85008-4414
US

IV. Provider business mailing address

4040 E MCDOWELL RD SUITE 211,213 , 215, 217, 219
PHOENIX AZ
85008-4414
US

V. Phone/Fax

Practice location:
  • Phone: 602-399-6015
  • Fax:
Mailing address:
  • Phone: 602-399-6015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: OGHENERO OLORI
Title or Position: ADMINISTRATOR
Credential:
Phone: 602-576-2873