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
960 N STAPLEY DR, BUILDING 1 AND 11, MESA, AZ 85203-5604
(480) 835-9692
(480) 835-5457
Mailing address
868 E UNIVERSITY DR, MESA, AZ 85203-8033
(480) 969-4024
(480) 969-0039
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH-5048
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH-5048
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
10/24/2006
Last updated
01/04/2019
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