OrganizationActive
New Life Adult Behavioral Services
NPI 1992583140 · Behavioral Neurology & Neuropsychiatry Physician · Phoenix, AZ
Provider details
- NPI number
- 1992583140
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Derrick Davis, Owner
Mailing address
1820 W Nelson Ave
N Las Vegas, NV 89032-3754
Registry dates
- Enumerated
- 2023-09-19
- Last updated
- 2023-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.