Organization
NEW HOPE BEHAVIORAL HEALTH RESIDENTIAL
Active
Other names
New Hope Behavioral Health Residential
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEL GAHAKANYI (CHIEF EXECUTIVE OFFICER)
(605) 413-0143
Entity
Organization
Contact information
Practice address
9624 W TRUMBULL RD, TOLLESON, AZ 85353-5729
(480) 466-3452
Mailing address
9624 W TRUMBULL RD, TOLLESON, AZ 85353-5729
(480) 466-3452
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01239056
—
SD
Enumeration date
07/21/2021
Last updated
07/21/2021
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