NPI | 1619339736 |
---|---|
Doing Business As | NEW LIFE RECOVERY |
Entity Type | Organization |
Authorized Contact | TRACY S FRYMAN Owner 859-569-3145 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
261QR1300X Clinic/Center, Rural Health | |
Enumeration Date | 2016-03-28 |
Last Update Date | 2021-06-02 |