Organization
NEW LEAF RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN MAZIMPAKA (ADMINISTRATOR)
(602) 919-3389
Entity
Organization
Contact information
Practice address
4444 W NORTHERN AVE, GLENDALE, AZ 85301-1683
(818) 770-4914
Mailing address
4444 W NORTHERN AVE, GLENDALE, AZ 85301-1683
(818) 770-4914
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
04/08/2026
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