| NPI | 1174293484 |
|---|---|
| Other Name | NEW LIFE REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | REGINALD D JACKSON Director 302-559-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |