Organization
NEW LIFE HEALTH AUTHORITY
Active
Other names
New Life LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LOUIS KERSHNER (MANAGER)
(303) 859-2742
Entity
Organization
Contact information
Practice address
280 E STANDLEY ST, UKIAH, CA 95482-4414
(707) 466-0001
(707) 466-0002
Mailing address
280 E STANDLEY ST, UKIAH, CA 95482-4414
(707) 466-0001
(707) 466-0002
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
01/05/2022
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