New Leaf Adolescent Care, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEW LEAF ADOLESCENT CARE, INC

Practice address

200 E Arrowhead Dr Ste 5
Charlotte, NC 28213-6465

Phone

(704) 405-8890

Fax

(704) 405-8893

NPI assigned

Oct 31, 2007

Last updated

Oct 31, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mickey Leon Rivers Sr.

Title

Executive Director

Phone

(704) 405-8890

Specialties & licenses 1

Addresses

Tax ID family

New Leaf Adolescent Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Leaf Adolescent Care, Inc

  • Case Management Agency
  • Charlotte, NC
  • NPI 1821140401
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1881873412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E ARROWHEAD DR STE 5",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136465",
            "telephone_number": "704-405-8890",
            "fax_number": "704-405-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ARROWHEAD DR STE 5",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136465",
            "telephone_number": "704-405-8890",
            "fax_number": "704-405-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF ADOLESCENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-405-8890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Horizon Residential Services L.L.C
• New Horizons Youth & Family Services, LLC
• New Kydz of Hope LLC
• New Leaf Adolescent Care
• New Leaf Adolescent Care, Inc
• New Level Family Services LLC
• New Life Home Care LLC
• New Life in Home and Therapeutic Care LLC
• New Life Peer Support and Coaching LLC
• New Millennium Therapy

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.