Organization
NEW LIFE ADDICTION COUNSELING SERVICES INC
Active
Other names
DiscoveryMD, Hanover
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALEN GUSTILO (DIRECTOR OF PAYER RELATIONS)
(714) 568-7667
Entity
Organization
Contact information
Practice address
7240 PARKWAY DR STE 140, HANOVER, MD 21076-1367
(714) 828-1800
(714) 882-1186
Mailing address
18401 VON KARMAN AVE STE 500, IRVINE, CA 92612-8531
(714) 828-1800
(714) 882-1186
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
D0018051
MD
Other
Enumeration date
10/14/2006
Last updated
05/08/2023
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