# A NEW LEAF, INC.

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

## Provider details

- **NPI number:** 1871195875
- **Authorized official:** REGINA MINOR (CONTRACTS & CREDENTIALING SPEC.)
- **Authorized official phone:** (480) 969-4024

## Contact information

- **Practice address:** 2254 W MAIN ST, BLDG A, MESA, AZ 85201
- **Practice address phone:** (480) 969-4024
- **Practice address fax:** (480) 969-0039
- **Mailing address:** 868 E UNIVERSITY DR, MESA, AZ 85203-8033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2020
- **Last updated:** 11/13/2020