| NPI | 1023354842 |
|---|---|
| Former Legal Business Name | NEW LEAF WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | LON DOUSING Corporate Owner 405-751-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OK 24935) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2018-02-01 |