Healthcare Provider Details

I. General information

NPI: 1639949308
Provider Name (Legal Business Name): NEW HORIZON YOUTH HOMES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 N TREKELL RD
CASA GRANDE AZ
85122-1007
US

IV. Provider business mailing address

PO BOX 2754
CHANDLER AZ
85244-2754
US

V. Phone/Fax

Practice location:
  • Phone: 480-722-2730
  • Fax: 480-664-4296
Mailing address:
  • Phone: 480-722-2730
  • Fax: 480-664-4296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MINDY ANN LEON
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 480-722-2730