New Leaf Adolescent Care, Inc

LBN: New Leaf Adolescent Care, Inc
New Leaf Adolescent Care, Inc is an health care organization with primary practice located at 1945 J N Pease Pl Ste 102 , Charlotte NC 28262-4555. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Case Management is the primary health care specialty. New Leaf Adolescent Care, Inc can be contacted via phone (704) 405-8890, or through Rivers, Mickey Leon via phone (704) 891-5825.

Contact Information

Primary practice address
1945 J N Pease Pl Ste 102 Charlotte NC 28262-4555
Phone: (704) 405-8890
Fax: (704) 405-8893
Website:
Map and Directions
Authorized official contact:
Name: Rivers, Mickey Leon
Phone: (704) 891-5825

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 8301256B North Carolina
Agencies / Community/Behavioral Health 251S00000X North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-060-802 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-090-146 North Carolina

Profile Details

NPI number 1821140401
LBN Legal business name New Leaf Adolescent Care, Inc
DBA Doing business as
Authorized official Rivers, Mickey Leon
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Dec 4th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821140401 NPPES
North Carolina MEDICAID 8301256B
North Carolina MEDICAID 060-802

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