Organization
NEW LIFE RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL ALBERT ROBINSON SUDP, MSW (DIRECTOR)
(360) 729-7037
Entity
Organization
Contact information
Practice address
2410 GRAND BLVD, VANCOUVER, WA 98661-4630
(360) 729-7037
Mailing address
PO BOX 2275, VANCOUVER, WA 98668-2275
(360) 729-7037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
02/07/2025
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