Organization
NEW LEAF COMMUNITY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRYSTAL MICHELLE RATLIFF (OWNER/ OPERATOR)
(606) 438-5920
Entity
Organization
Contact information
Practice address
1070 WILEY FORK RD, LEBURN, KY 41831-8855
(606) 438-5920
Mailing address
1070 WILEY FORK RD, LEBURN, KY 41831-8855
(606) 438-5920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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