NPI | 1336694694 |
---|---|
Doing Business As | A NEW LIFE RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | JENNIE INGUANZO Chief Executive Officer 702-476-2899 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2016-08-16 |
Last Update Date | 2023-05-08 |