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Organization
NEW LEAF ADOLESCENT CARE, INC
Active
Organization
NEW LEAF ADOLESCENT CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICKEY LEON RIVERS SR. (EXECUTIVE DIRECTOR)
(704) 405-8890
Entity
Organization
Contact information
Practice address
200 E ARROWHEAD DR STE 5, CHARLOTTE, NC 28213-6465
(704) 405-8890
(704) 405-8893
Mailing address
200 E ARROWHEAD DR STE 5, CHARLOTTE, NC 28213-6465
(704) 405-8890
(704) 405-8893
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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