Organization
NEW LEAF CENTER
Active
Organization
NEW LEAF CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLIVIA K WENGER MD (EXECUTIVE DIRECTOR, PHYSICIAN)
(330) 359-9888
Entity
Organization
Contact information
Practice address
15988B E. CHESTNUT ST., MOUNT EATON, OH 44659-0998
(330) 359-9888
(330) 359-9890
Mailing address
PO BOX 336, 15988B E. CHESTNUT STREET, MOUNT EATON, OH 44659-0336
(330) 359-9888
(330) 359-9890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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