NPI 1073349874
New Merveille 2 LLC
Practice location
- Address
- 4821 N 108th Ave, Phoenix, AZ 85037-5471
- Phone
- (817) 707-2798
Authorised official
- Name
- Desire N Nkomezi
- Title
- Owner
- Phone
- (817) 707-2798
Registered specialties (4)
Psychiatric Residential Treatment Facility
Primary
Community/Behavioral Health Agency
Substance Abuse Rehabilitation Facility
Children's Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1073349874
- Entity type
- Organization
- NPI issued
- 10 Sep 2024
- Record last updated
- 20 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.