Organization
NEW LIFE ALTERNATIVES LLC
Active
Organization
NEW LIFE ALTERNATIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEVERIA ADOLPHUS PMHNP-BC (CLINICAL DIRECTOR)
(313) 915-9138
Entity
Organization
Contact information
Practice address
3281 COOLIDGE HWY, BERKLEY, MI 48072-1633
(313) 915-9138
(313) 216-2776
Mailing address
24340 DANTE ST, OAK PARK, MI 48237-3610
(313) 915-9138
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
01/11/2020
Last updated
07/21/2025
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