| New Life Recovery Services | |
|
2410 Grand Blvd Vancouver WA 98661-4630 | |
| (360) 729-7037 | |
| Not Available |
| Full Name | New Life Recovery Services |
|---|---|
| Speciality | Case Management |
| Location | 2410 Grand Blvd, Vancouver, Washington |
| Authorized Official Name and Position | Carl Albert Robinson (DIRECTOR) |
| Authorized Official Contact | 3607297037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Recovery Services Po Box 2275 Vancouver WA 98668-2275 Ph: (360) 729-7037 | New Life Recovery Services 2410 Grand Blvd Vancouver WA 98661-4630 Ph: (360) 729-7037 |
| NPI Number | 1245935576 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 12/01/2023 |
| Certification Date | 12/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245935576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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