Provider Demographics
NPI:1245553759
Name:TURN OF A NEWLEAF, INC
Entity type:Organization
Organization Name:TURN OF A NEWLEAF, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-595-3490
Mailing Address - Street 1:8226 MCCLELLAND PL
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-1833
Mailing Address - Country:US
Mailing Address - Phone:800-595-3940
Mailing Address - Fax:703-997-2455
Practice Address - Street 1:8226 MCCLELLAND PL
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-1833
Practice Address - Country:US
Practice Address - Phone:800-595-3940
Practice Address - Fax:703-997-2455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No251V00000XAgenciesVoluntary or Charitable