| Organization Name: | NEW LEAF RECOVERY SERVICES, PC |
| NPI Number: | 1447681812 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT L BELLUSO (PRESIDENT) |
| Mailing Address: | 90 Chamber Plz Charleroi |
| State: | PA US |
| Postal Code: | 150221620 |
| Phone Number: | 7245651121 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2013 |
| NPI Last Update Date: | 08/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | OS014501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |