MEDICARE: NEW LEAF CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	171M00000X	Case Manager/Care Coordinator
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center
4	251S00000X	Community/Behavioral Health Agency
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
6	1041C0700X	Clinical Social Worker
7	252Y00000X	Early Intervention Provider Agency
8	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1700674686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW LEAF CENTER

Provider Business Mailing Address
First Line	:	92 EMBRY LN
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-6022
Country	:	US
Telephone Number	:	406-868-7839
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 CENTRAL AVE STE 402
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3143
Country	:	US
Telephone Number	:	406-866-0031
Fax Number	:	406-403-0297

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DANIEL GORDON
Credential	:	MD
Telephone Number	:	406-868-7839

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	02/06/2026

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Directions to “NEW LEAF CENTER ” Practice Location

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