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Organization
NEW LIFE WELLNESS CENTER OF CA
Active
Organization
NEW LIFE WELLNESS CENTER OF CA
Active
Other names
Aurora Wellness Rediscovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MOORE (CEO)
(310) 425-8433
Entity
Organization
Contact information
Practice address
3685 MOTOR AVE STE 150, LOS ANGELES, CA 90034-7203
(310) 425-8433
Mailing address
9663 SANTA MONICA BLVD # 730, BEVERLY HILLS, CA 90210-4303
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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