| New Leaf Therapy, Inc. | |
|
1935 County Road B2 W Ste 240 Roseville MN 55113-2722 | |
| (203) 710-1992 | |
| Not Available |
| Full Name | New Leaf Therapy, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1935 County Road B2 W Ste 240, Roseville, Minnesota |
| Authorized Official Name and Position | Stephanie Robinson (PRESIDENT) |
| Authorized Official Contact | 2037101992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Therapy, Inc. 62 Juniper St Mahtomedi MN 55115-1502 Ph: (203) 710-1992 | New Leaf Therapy, Inc. 1935 County Road B2 W Ste 240 Roseville MN 55113-2722 Ph: (203) 710-1992 |
| NPI Number | 1659863173 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659863173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 24571 (Minnesota) | Primary |
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