Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Case Management |
251B00000X | |||
Community/Behavioral Health |
251S00000X | |||
Health Service |
261QH0100X | |||
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1154108041 |
| LBN Legal business name | NEW DESTINY HEALING ARTS CENTER |
| Authorized official | SHARLI BERRY - (CCO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/13/2023 |
| Last updated | 02/02/2024 - About 2 years ago |
| Identifiers | n/a |
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