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Organization
NEW LIFE COMMUNITY MENTAL
Active
Organization
NEW LIFE COMMUNITY MENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EDSON (PRESIDENT)
(305) 325-8620
Entity
Organization
Contact information
Practice address
1690 NW 19TH TER, MIAMI, FL 33125-1593
(305) 325-8620
(305) 549-7229
Mailing address
1690 NW 19TH TER, MIAMI, FL 33125-1593
(305) 325-8620
(305) 549-7229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ME55324
FL
Other
Enumeration date
04/03/2006
Last updated
08/22/2020
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