| A New Leaf, Inc. | |
|
2254 W Main St, Bldg A Mesa AZ 85201 | |
| (480) 969-4024 | |
| (480) 969-0039 |
| Full Name | A New Leaf, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2254 W Main St, Bldg A, Mesa, Arizona |
| Authorized Official Name and Position | Regina Minor (CONTRACTS & CREDENTIALING SPEC.) |
| 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: () - | A New Leaf, Inc. 2254 W Main St, Bldg A Mesa AZ 85201 Ph: (480) 969-4024 |
| NPI Number | 1871195875 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 11/13/2020 |
| Certification Date | 11/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871195875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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