Organization
NEW LEAF CLINIC RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA WALKER MD (OWNER)
(502) 690-4286
Entity
Organization
Contact information
Practice address
215 W BRECKINRIDGE ST, LOUISVILLE, KY 40203-2219
(502) 690-4286
(318) 321-3476
Mailing address
215 W BRECKINRIDGE ST, LOUISVILLE, KY 40203-2219
(502) 690-4286
(318) 321-3476
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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