Organization
NEW LEAF THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ROBINSON LICSW (PRESIDENT)
(203) 710-1992
Entity
Organization
Contact information
Practice address
1935 COUNTY ROAD B2 W STE 240, ROSEVILLE, MN 55113-2722
(203) 710-1992
Mailing address
62 JUNIPER ST, MAHTOMEDI, MN 55115-1502
(203) 710-1992
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
24571
MN
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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