# A NEW LEAF, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659455939
- **Authorized official:** MR. MICHAEL T. HUGHES (CEO)
- **Authorized official phone:** (480) 969-4024

## Contact information

- **Practice address:** 960 N STAPLEY DR, BUILDING 1 AND 11, MESA, AZ 85203-5604
- **Practice address phone:** (480) 835-9692
- **Practice address fax:** (480) 835-5457
- **Mailing address:** 868 E UNIVERSITY DR, MESA, AZ 85203-8033
- **Mailing address phone:** (480) 969-4024
- **Mailing address fax:** (480) 969-0039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH-5048 | AZ | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 01/04/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | BH-5048 | ARIZONA DEPARTMENT OF HEALTH SERVICES | AZ |