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Organization
NEW LIFE BEHAVIOR HEALTH SERVICES INC
Active
Organization
NEW LIFE BEHAVIOR HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABRAHAM AGIBA PMHNP (CEO)
(310) 490-7956
Entity
Organization
Contact information
Practice address
5024 TORRANCE BLVD, TORRANCE, CA 90503-4116
(310) 490-7956
Mailing address
5024 TORRANCE BLVD, TORRANCE, CA 90503-4116
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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