| New Leaf Center | |
|
15988b E. Chestnut St. Mount Eaton OH 44659-0998 | |
| (330) 359-9888 | |
| (330) 359-9890 |
| Full Name | New Leaf Center |
|---|---|
| Speciality | Pediatrics |
| Location | 15988b E. Chestnut St., Mount Eaton, Ohio |
| Authorized Official Name and Position | Olivia K Wenger (EXECUTIVE DIRECTOR, PHYSICIAN) |
| Authorized Official Contact | 3303599888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Center Po Box 336 15988b E. Chestnut Street Mount Eaton OH 44659-0336 Ph: (330) 359-9888 | New Leaf Center 15988b E. Chestnut St. Mount Eaton OH 44659-0998 Ph: (330) 359-9888 |
| NPI Number | 1144650987 |
|---|---|
| Provider Enumeration Date | 11/14/2013 |
| Last Update Date | 11/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144650987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |