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General NPI Number Information
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NPI Number | 1700674686
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Entity Type | Organization
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Legal Business Name | NEW LEAF CENTER
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 600 CENTRAL AVE STE 402
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City | GREAT FALLS
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State | MT
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Zip | 59401-3143
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Country | US
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Telephone | 406-866-0031
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Fax | 406-403-0297
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Provider Business Mailing Address
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Address Line | 92 EMBRY LN
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City | GREAT FALLS
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State | MT
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Zip | 59404-6022
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Country | US
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Telephone | 406-868-7839
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DANIEL GORDON
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Credential | MD
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Telephone | 406-868-7839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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