| A New Leaf, Inc. | |
|
1655 E University Dr Suite 100 & 101 Mesa AZ 85203-8169 | |
| (480) 969-6955 | |
| (480) 898-0705 |
| Full Name | A New Leaf, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1655 E University Dr, Mesa, Arizona |
| Authorized Official Name and Position | Michael T. Hughes (CEO) |
| Authorized Official Contact | 4809694024 |
| 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. 1655 E University Dr Suite 100 & 101 Mesa AZ 85203-8169 Ph: (480) 969-6955 |
| NPI Number | 1568491637 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 01/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568491637 | NPI | - | NPPES |
| 003971 | Other | AZ | AHCCCS NUMBER |
| OTC6462 | Other | AZ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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