NPI | 1104435734 |
---|---|
Doing Business As | NEW LIFE LLC |
Entity Type | Organization |
Authorized Contact | ROBERT LOUIS KERSHNER Manager 303-859-2742 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-07-29 |
Last Update Date | 2022-01-05 |