Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEON HARLIE STURDIVANT SR., ED.D.
Active Sole ProprietorPsychiatric Residential Treatment Facility · GREENSBORO, NC
Registration Details
- NPI Number
- 1215106984
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2008 (18.150534896543 yrs)
- Last Updated
- Feb 26, 2008
- License
-
MHL041732 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
808 MYSTIC DRGREENSBORO, NC, 274065726Browse NC providers · Browse ZIP 27406
- Phone
- 3368541718
- Fax
- 3368541718
- Primary Specialty
-
Psychiatric Residential Treatment Facility
323P00000X
Other Psychiatric Residential Treatment Facility Providers in GREENSBORO, NC
| Name | Credential | NPI |
|---|---|---|
| MS. LINDA C. GLASGOW | CEO | 1164581203 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.