| New Hope Behavioral Health Center Inc | |
|
215 S Power Rd 114 Mesa AZ 85206-5235 | |
| (480) 981-1022 | |
| (480) 981-1405 |
| Full Name | New Hope Behavioral Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 S Power Rd, Mesa, Arizona |
| Authorized Official Name and Position | Mindi A Woodruff (ACTING SECRETARY/PROGRAM SPONSOR) |
| Authorized Official Contact | 4809811022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Behavioral Health Center Inc 215 S Power Rd 114 Mesa AZ 85206-5235 Ph: (480) 981-1022 | New Hope Behavioral Health Center Inc 215 S Power Rd 114 Mesa AZ 85206-5235 Ph: (480) 981-1022 |
| NPI Number | 1578685822 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 05/06/2021 |
| Certification Date | 04/30/2021 |
| Medicare PECOS PAC ID | 3678906104 |
|---|---|
| Medicare Enrollment ID | O20191213001316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578685822 | NPI | - | NPPES |
| 893554 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | BH2631 (Arizona) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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