Organization
LEADERS OF TOMORROW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HOWARD CRAWFORD JR. (CEO/DIRECTOR)
(563) 323-0478
Entity
Organization
Contact information
Practice address
1720 N HARRISON ST, DAVENPORT, IA 52803-4812
(563) 323-0478
(563) 324-0308
Mailing address
1720 N HARRISON ST, DAVENPORT, IA 52803-4812
(563) 323-0478
(563) 324-0308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
X000402601
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000402601
—
IA
Enumeration date
08/08/2011
Last updated
08/08/2011
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