Provider Demographics
NPI:1437891629
Name:NEW WAY RECOVERY, LLC
Entity Type:Organization
Organization Name:NEW WAY RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIERRA
Authorized Official - Middle Name:NATE'
Authorized Official - Last Name:ABDULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-577-8164
Mailing Address - Street 1:264 N EXETER ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-4657
Mailing Address - Country:US
Mailing Address - Phone:480-577-8164
Mailing Address - Fax:480-546-3376
Practice Address - Street 1:264 N EXETER ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-4657
Practice Address - Country:US
Practice Address - Phone:480-577-8164
Practice Address - Fax:480-546-3376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness