Provider Demographics
NPI:1811495567
Name:SPRING LEAF SOLUTIONS, LLC
Entity type:Organization
Organization Name:SPRING LEAF SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:DALRYMPLE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:202-525-3954
Mailing Address - Street 1:9501 BLUEMONT CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-7787
Mailing Address - Country:US
Mailing Address - Phone:704-906-1389
Mailing Address - Fax:919-287-2899
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:202-525-2580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-29
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC050983003Medicaid