# NEW LEAF RECOVERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477422400
- **Authorized official:** IAN MAZIMPAKA (ADMINISTRATOR)
- **Authorized official phone:** (602) 919-3389

## Contact information

- **Practice address:** 4444 W NORTHERN AVE, GLENDALE, AZ 85301-1683
- **Practice address phone:** (818) 770-4914
- **Mailing address:** 4444 W NORTHERN AVE, GLENDALE, AZ 85301-1683
- **Mailing address phone:** (818) 770-4914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2025
- **Last updated:** 04/08/2026