| A New Leaf | |
|
8581 N 61st Ave Bldg A Glendale AZ 85302-5493 | |
| (623) 934-1991 | |
| (623) 878-9335 |
| Full Name | A New Leaf |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8581 N 61st Ave Bldg A, Glendale, Arizona |
| Authorized Official Name and Position | Gracia Danis (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5205915394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Leaf 868 E University Dr Mesa AZ 85203-8033 Ph: (480) 969-4024 | A New Leaf 8581 N 61st Ave Bldg A Glendale AZ 85302-5493 Ph: (623) 934-1991 |
| NPI Number | 1013349570 |
|---|---|
| Provider Enumeration Date | 08/06/2013 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013349570 | NPI | - | NPPES |
| OTC6465 | Other | AZ | STATE LICENSE |
| 433108 | Medicaid | AZ |
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