Organization
NEW LIFE TREATMENT LLC
Active
Other names
execucare arc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MICHAEL SANDERS (MANAGING PARTNER)
(770) 817-0711
Entity
Organization
Contact information
Practice address
3985 STEVE REYNOLDS BLVD, BLDG B SUITE A, NORCROSS, GA 30093-3035
(770) 817-0711
(770) 817-0640
Mailing address
3985 STEVE REYNOLDS BLVD, BLDG B SUITE A, NORCROSS, GA 30093-3035
(770) 817-0711
(770) 817-0640
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/08/2009
Last updated
11/22/2011
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