A New Leaf, Inc. - Central Campus Services

NPI 1174965370 - Clinic/Center - 261QM0855X

NPI Details
NPI 1174965370
Enumeration Date 07/29/2013
Last Updated 07/29/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MICHAEL MICHAEL
Position CHIEF EXECUTIVE OFFICER
Phone (480) 969-4024
Fax (480) 969-0039
Practice Location
960 N STAPLEY DR
BUILDING 2 - 10
MESA AZ, 85203-5604, US
Phone (480) 969-4024
Fax (480) 969-0039
Business Location
868 E UNIVERSITY DR
MESA AZ, 85203-8033, US
Phone (480) 969-4024
Fax (480) 969-0039
Toxanomy
Taxonomy Code 261QM0855X
License State Arizona
License Number BH4297
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According to our database, A New Leaf, Inc. - Central Campus Services NPI is 1174965370, taxonomy code is 261QM0855X and license number is BH4297, license state is located at Arizona. A New Leaf, Inc. - Central Campus Services physically located at 960 N Stapley Dr, Mesa AZ, 85203-5604. NPI Number 1033115704 has the healthcare provider type.

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1174965370 NPI number is provided on an as is basis without warranty of any kind. 1174965370 is maintained by the National Plan & Provider Enumeration System. The contents of A New Leaf, Inc. - Central Campus Services are for informational purposes only.