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Organization

NEW LEAF ON LIFE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATANYA C LOVE (FOUNDER/PEER SUPPORT DIRECTOR)
(310) 590-6634
Entity
Organization

Contact information

Practice address
3870 CRENSHAW BLVD STE 212, LOS ANGELES, CA 90008-1815
(310) 590-6634
Mailing address
3870 CRENSHAW BLVD STE 212, LOS ANGELES, CA 90008-1815
(310) 590-6634

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
Primary
251B00000X
Case Management Agency

Other

Enumeration date
08/26/2024
Last updated
08/26/2024
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