Healthcare Provider Details

I. General information

NPI: 1104740240
Provider Name (Legal Business Name): NEW HORIZON YOUTH HOMES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7308 W. LYNWOOD ST
PHOENIX AZ
85035
US

IV. Provider business mailing address

7308 W. LYNWOOD ST
PHOENIX AZ
85035
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

VIII. Authorized Official

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