Provider Demographics
NPI:1104386747
Name:NEW HOPE OF ARIZONA
Entity Type:Organization
Organization Name:NEW HOPE OF ARIZONA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEATY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-535-5686
Mailing Address - Street 1:12406 N 32ND ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-7146
Mailing Address - Country:US
Mailing Address - Phone:602-535-5686
Mailing Address - Fax:602-535-5912
Practice Address - Street 1:8149 W FOREST GROVE AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85043-1500
Practice Address - Country:US
Practice Address - Phone:602-535-5686
Practice Address - Fax:602-535-5912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness