Provider Demographics
NPI:1043283914
Name:NEW LEAF PARTNERS
Entity Type:Organization
Organization Name:NEW LEAF PARTNERS
Other - Org Name:NEW LEAF TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:STALCUP
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, DRPH
Authorized Official - Phone:925-284-5200
Mailing Address - Street 1:251 LAFAYETTE CIR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4342
Mailing Address - Country:US
Mailing Address - Phone:925-284-5200
Mailing Address - Fax:925-284-5204
Practice Address - Street 1:251 LAFAYETTE CIR
Practice Address - Street 2:SUITE 150
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4342
Practice Address - Country:US
Practice Address - Phone:925-284-5200
Practice Address - Fax:925-284-5204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0850X, 261QP3300X
CA070035AP261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Not Answered261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Not Answered261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder