Provider Demographics
NPI:1851964316
Name:A NEW DAY VOCATIONAL PROGRAM
Entity Type:Organization
Organization Name:A NEW DAY VOCATIONAL PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:SKRZYMOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-400-9210
Mailing Address - Street 1:18001 N 79TH AVE STE A8
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8389
Mailing Address - Country:US
Mailing Address - Phone:234-009-2106
Mailing Address - Fax:602-916-0205
Practice Address - Street 1:18001 N 79TH AVE STE A8
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8389
Practice Address - Country:US
Practice Address - Phone:623-400-9210
Practice Address - Fax:602-916-0205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable