| NPI | 1366796724 |
|---|---|
| Doing Business As | NEW LEAF WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | NOE ANTONIO LOPEZ CEO 915-313-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66155) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2021-09-01 |