Healthcare Provider Details
I. General information
NPI: 1164258661
Provider Name (Legal Business Name): NEW HOPE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2024
Last Update Date: 09/11/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2821 S PARKER RD STE 2-0171
AURORA CO
80014-2735
US
IV. Provider business mailing address
2821 S PARKER RD STE 2-0171
AURORA CO
80014-2735
US
V. Phone/Fax
- Phone: 402-594-4900
- Fax: 303-740-7010
- Phone: 402-594-4900
- Fax: 303-740-7010
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RHODA
DARKWA
Title or Position: PMHNP
Credential: NP
Phone: 402-594-4900