Provider Demographics
NPI:1518637693
Name:SPRING LEAF SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SPRING LEAF SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:DALRYMPLE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:704-906-1389
Mailing Address - Street 1:6323 GEORGIA AVE NW STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1141
Mailing Address - Country:US
Mailing Address - Phone:202-525-3954
Mailing Address - Fax:
Practice Address - Street 1:6323 GEORGIA AVE NW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1141
Practice Address - Country:US
Practice Address - Phone:202-525-3954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder