Healthcare Provider Details

I. General information

NPI: 1255055919
Provider Name (Legal Business Name): NEW HOPE RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

899 N WILMOT ROAD STE D-3
TUCSON AZ
85711
US

IV. Provider business mailing address

PO BOX 18048
TUCSON AZ
85731
US

V. Phone/Fax

Practice location:
  • Phone: 480-352-1957
  • Fax:
Mailing address:
  • Phone: 480-352-1957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. DANNY BROWN JR.
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PSS
Phone: 480-352-1957