Organization
NEW LIFE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY R BRUCE LCDC III (OWNER, EXECUTIVE DIRECTOR)
(740) 302-2218
Entity
Organization
Contact information
Practice address
425 MARION PIKE, COAL GROVE, OH 45638-2960
(740) 377-1998
Mailing address
425 MARION PIKE, COAL GROVE, OH 45638-2960
(740) 377-1998
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
09/06/2023
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