Organization Name: | NEW LIFE RECOVERY CENTER,INC |
NPI Number: | 1689729444 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EUGENE MCLAUGHLIN (DIRECTOR) |
Mailing Address: | 1810 Macopin Rd West Milford |
State: | NJ US |
Postal Code: | 074801810 |
Phone Number: | 9737287788 |
Fax Number: | 9737287410 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 22773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |