Healthcare Provider Details

I. General information

NPI: 1750069308
Provider Name (Legal Business Name): NEWVIEW HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 12/13/2023
Certification Date: 11/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4213 MONTGOMERY BLVD NE STE C-4213
ALBUQUERQUE NM
87109-1103
US

IV. Provider business mailing address

4213 MONTGOMERY BLVD NE STE C-4213
ALBUQUERQUE NM
87109-1103
US

V. Phone/Fax

Practice location:
  • Phone: 505-498-3807
  • Fax: 505-498-3808
Mailing address:
  • Phone: 505-498-3807
  • Fax: 505-498-3808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN BAR
Title or Position: FOUNDER & CEO
Credential:
Phone: 732-581-4034