| Leaders Of Tomorrow, Llc | |
|
1720 N Harrison St Davenport IA 52803-4812 | |
| (563) 323-0478 | |
| (563) 324-0308 |
| Full Name | Leaders Of Tomorrow, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1720 N Harrison St, Davenport, Iowa |
| Authorized Official Name and Position | James Howard Crawford (CEO/DIRECTOR) |
| Authorized Official Contact | 5633230478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leaders Of Tomorrow, Llc 1720 N Harrison St Davenport IA 52803-4812 Ph: (563) 323-0478 | Leaders Of Tomorrow, Llc 1720 N Harrison St Davenport IA 52803-4812 Ph: (563) 323-0478 |
| NPI Number | 1184903247 |
|---|---|
| Provider Enumeration Date | 08/08/2011 |
| Last Update Date | 08/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184903247 | NPI | - | NPPES |
| X000402601 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | X000402601 (Iowa) | Primary |
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