Organization
NEW LIFESTYLES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH L CUAVE PSYD (PRESIDENT)
(540) 722-4521
Entity
Organization
Contact information
Practice address
230 W BOSCAWEN ST, WINCHESTER, VA 22601-4118
(540) 722-4521
(540) 722-0223
Mailing address
PO BOX 64, WINCHESTER, VA 22604-0064
(540) 722-4521
(540) 722-0223
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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