Organization
NEW LIFECLINICS INC
Active
Other names
New Life Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SCOTT DORNBOS JD (GENERAL COUNSEL)
(304) 541-8088
Entity
Organization
Contact information
Practice address
198 GEORGE ST, BECKLEY, WV 25801-2608
(681) 207-7123
Mailing address
198 GEORGE ST, BECKLEY, WV 25801-2608
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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