# NEW LEAF WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235475088
- **Authorized official:** ART MATTSON (MANAGEMENT)
- **Authorized official phone:** (931) 252-2932

## Contact information

- **Practice address:** 12129 UNIVERSITY AVE STE 1500, CLIVE, IA 50325-8287
- **Practice address phone:** (515) 657-6210
- **Practice address fax:** (515) 657-6208
- **Mailing address:** 12129 UNIVERSITY AVE STE 1500, CLIVE, IA 50325-8287
- **Mailing address phone:** (515) 657-6210
- **Mailing address fax:** (515) 657-6208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 01554 | IA | Yes |

## Other

- **Enumeration date:** 12/26/2012
- **Last updated:** 12/26/2012