Leap Organization

NPI #1912262650 in Clarksville, Tennessee

Provider Information

NPI Number
1912262650
Entity Type
Organization
Organization Name
Leap Organization
Primary Specialty
Counselor
Enumeration Date
Jul 9, 2012
Last Updated
Oct 3, 2013

Practice Location

Address
1860 WILMA RUDOLPH BLVD
Address 2
SUITE 100
ZIP Code
37040-6669
Phone
(931) 378-0500

Authorized Official

Name
RICHARD GARRETT
Title
EXECUTIVE DIRECTOR
Phone
(931) 378-0500

Specialties & Taxonomy Codes

Specialty
Counselor

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