Organization
A NEW LEAF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MINOR (CONTRACTS & CREDENTIALING SPEC.)
(480) 969-4024
Entity
Organization
Contact information
Practice address
2254 W MAIN ST, BLDG A, MESA, AZ 85201
(480) 969-4024
(480) 969-0039
Mailing address
868 E UNIVERSITY DR, MESA, AZ 85203-8033
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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