Organization
NEW LEAF BEHAVIORAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN L HOLT M.S., BCBA (PRESIDENT)
(478) 954-4278
Entity
Organization
Contact information
Practice address
5137 RIVER EDGE LN, LEESBURG, FL 34748-9191
(478) 954-4278
(321) 396-7662
Mailing address
5137 RIVER EDGE LN, LEESBURG, FL 34748-9191
(478) 954-4278
(321) 396-7662
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P12000041389
FL
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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