| A New Leaf, Inc. | |
|
2254 W Main St Mesa AZ 85201-6847 | |
| (480) 969-4024 | |
| Not Available |
| Full Name | A New Leaf, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2254 W Main St, Mesa, Arizona |
| Authorized Official Name and Position | Brian Beckstead (DIRECTOR OF INFORMATICS) |
| Authorized Official Contact | 4808486088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Leaf, Inc. 868 E University Dr Mesa AZ 85203-8033 Ph: (480) 969-4024 | A New Leaf, Inc. 2254 W Main St Mesa AZ 85201-6847 Ph: (480) 969-4024 |
| NPI Number | 1922567817 |
|---|---|
| Provider Enumeration Date | 03/19/2019 |
| Last Update Date | 01/24/2020 |
| Certification Date | 01/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922567817 | NPI | - | NPPES |
| OTC9432 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES |
| 577747 | Medicaid | AZ |
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