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
1655 E UNIVERSITY DR, SUITE 100 & 101, MESA, AZ 85203-8169
(480) 969-6955
(480) 898-0705
Mailing address
868 E UNIVERSITY DR, MESA, AZ 85203-8033
(480) 969-4024
(480) 969-0039
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003971
AHCCCS NUMBER
AZ
01
—
OTC6462
STATE LICENSE
AZ
Enumeration date
07/01/2006
Last updated
01/04/2019
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