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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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