Provider Demographics
NPI:1992387112
Name:NEW HOPE BEHAVIORAL HEALTH CENTER INC
Entity type:Organization
Organization Name:NEW HOPE BEHAVIORAL HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINDI
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOODRUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-981-1022
Mailing Address - Street 1:215 S POWER RD STE 114
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-5236
Mailing Address - Country:US
Mailing Address - Phone:480-981-1022
Mailing Address - Fax:480-981-1405
Practice Address - Street 1:215 S POWER RD STE 216
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-5238
Practice Address - Country:US
Practice Address - Phone:480-981-1022
Practice Address - Fax:480-981-1405
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW HOPE BEHAVIORAL HEALTH CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1578685822OtherNPI
AZ893554Medicaid