| New Life Rtf Llc | |
|
1340 Nw Shady Ln Albany OR 97321-1738 | |
| (503) 454-8173 | |
| (541) 704-0336 |
| Full Name | New Life Rtf Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1340 Nw Shady Ln, Albany, Oregon |
| Authorized Official Name and Position | Itoro Etuks (CEO) |
| Authorized Official Contact | 5417040286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Rtf Llc 1340 Nw Shady Ln Albany OR 97321-1738 Ph: (503) 454-8173 | New Life Rtf Llc 1340 Nw Shady Ln Albany OR 97321-1738 Ph: (503) 454-8173 |
| NPI Number | 1124900733 |
|---|---|
| Provider Enumeration Date | 07/24/2025 |
| Last Update Date | 07/24/2025 |
| Certification Date | 07/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124900733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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