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Organization

NEW LIFE RECOVERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY BRUCE LCDC 111 (EXECUTIVE DIRECTOR)
(740) 377-1998
Entity
Organization

Contact information

Practice address
425 MARION PIKE, COAL GROVE, OH 45638-2960
(174) 037-7199
Mailing address
425 MARION PIKE, COAL GROVE, OH 45638-2960
(174) 037-7199

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
09/06/2023
Last updated
09/06/2023
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