| Arizona's New Hope, Pllc | |
|
11225 N 28th Dr Ste C206 Phoenix AZ 85029-5600 | |
| (623) 439-7472 | |
| (623) 439-7349 |
| Full Name | Arizona's New Hope, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11225 N 28th Dr Ste C206, Phoenix, Arizona |
| Authorized Official Name and Position | Elias Moran (CEO) |
| Authorized Official Contact | 6234664159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona's New Hope, Pllc Po Box 129 Litchfield Park AZ 85340-0129 Ph: (623) 466-4159 | Arizona's New Hope, Pllc 11225 N 28th Dr Ste C206 Phoenix AZ 85029-5600 Ph: (623) 439-7472 |
| NPI Number | 1356805816 |
|---|---|
| Provider Enumeration Date | 01/29/2019 |
| Last Update Date | 05/26/2025 |
| Certification Date | 05/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356805816 | NPI | - | NPPES |
| 480098 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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