New Leaf Behavioral Services Inc. | |
5137 River Edge Ln Leesburg FL 34748-9191 | |
(478) 954-4278 | |
(321) 396-7662 |
Full Name | New Leaf Behavioral Services Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 5137 River Edge Ln, Leesburg, Florida |
Authorized Official Name and Position | Jordan L Holt (PRESIDENT) |
Authorized Official Contact | 4789544278 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
New Leaf Behavioral Services Inc. 5137 River Edge Ln Leesburg FL 34748-9191 Ph: (478) 954-4278 | New Leaf Behavioral Services Inc. 5137 River Edge Ln Leesburg FL 34748-9191 Ph: (478) 954-4278 |
NPI Number | 1326307679 |
---|---|
Provider Enumeration Date | 05/07/2012 |
Last Update Date | 05/07/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326307679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | P12000041389 (Florida) | Primary |
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