| A New Leaf, Inc. - Central Campus Services | |
|
960 N Stapley Dr Building 2 - 8 & 10 Mesa AZ 85203-5604 | |
| (480) 969-4024 | |
| (480) 969-0039 |
| Full Name | A New Leaf, Inc. - Central Campus Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 960 N Stapley Dr, Mesa, 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, Inc. - Central Campus Services 868 E University Dr Mesa AZ 85203-8033 Ph: (480) 969-4024 | A New Leaf, Inc. - Central Campus Services 960 N Stapley Dr Building 2 - 8 & 10 Mesa AZ 85203-5604 Ph: (480) 969-4024 |
| NPI Number | 1174965370 |
|---|---|
| Provider Enumeration Date | 07/29/2013 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174965370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | BH4297 (Arizona) | Primary |
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