Provider Demographics
NPI:1962022665
Name:NEW HOPE OF ARIZONA, INC.
Entity Type:Organization
Organization Name:NEW HOPE OF ARIZONA, INC.
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 1:2198 E CAMELBACK RD STE 270
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4770
Mailing Address - Country:US
Mailing Address - Phone:602-535-5686
Mailing Address - Fax:602-535-5912
Practice Address - Street 1:8710 W WATKINS ST
Practice Address - Street 2:
Practice Address - City:TOLLESON
Practice Address - State:AZ
Practice Address - Zip Code:85353-9028
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:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children