| NPI | 1902504210 |
|---|---|
| Doing Business As | NEW LIFE RECOVERY OREGON |
| Entity Type | Organization |
| Authorized Contact | CHRISTIANA GREENE Program Director 612-328-4819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-11-08 |