Organization
A NEW LEAF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL T. HUGHES (CEO)
(480) 969-4024
Entity
Organization
Contact information
Practice address
8802 N 61ST AVE, GLENDALE, AZ 85302-4521
(623) 934-1991
(480) 733-3031
Mailing address
868 E UNIVERSITY DR, MESA, AZ 85203-8033
(480) 969-4024
(480) 969-0039
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
BH2535
AZ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
BH2535
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
909351
AHCCCS NUMBER
AZ
01
—
BH2535
LICENSE NUMBER
AZ
Enumeration date
10/12/2006
Last updated
07/20/2013
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