Organization · NPI-2

A New Leaf, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · Mesa, AZ

NPI number1922567817
StatusActive
Last updated in NPPESJan 24, 2020

Details

NPI
1922567817
Entity type
Organization (NPI-2)
Legal business name
A New Leaf, INC.
Organization subpart
No
Enumeration date
Mar 19, 2019
Certification date
Jan 24, 2020
Last updated
Jan 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QP2300X Clinic/Center, Primary Care––

Practice location

2254 W Main St
Mesa, AZ 85201-6847

Phone 480-969-4024

Mailing address

868 E University Dr
Mesa, AZ 85203-8033

Phone 480-969-4024 · Fax 480-969-0039

Authorized official

Brian Beckstead
Director Of Informatics
4808486088

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