OrganizationActive
A New Leaf, Inc. - Central Campus Services
NPI 1174965370 · Adolescent and Children Mental Health Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1174965370
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Gracia Danis, Credentialing Specialist
- License
- BH4297 (AZ)
Practice location
960 N Stapley Dr
Building 2 - 8 & 10
Mesa, AZ 85203-5604
Phone: (480) 969-4024
Fax: (480) 969-0039
Mailing address
868 E University Dr
Mesa, AZ 85203-8033
Registry dates
- Enumerated
- 2013-07-29
- Last updated
- 2024-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.