Organization
DB LEAK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY LEAK (OWNER)
(919) 218-7161
Entity
Organization
Contact information
Practice address
1712 AIRLINE BLVD, PORTSMOUTH, VA 23707-3911
(919) 896-9877
Mailing address
PO BOX 97723, RALEIGH, NC 27624-7723
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/25/2013
Last updated
04/18/2014
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