Organization
NEW LIFE CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALYSON HARDING MS (EXECUTIVE VICE PRESIDENT)
(801) 281-3353
Entity
Organization
Contact information
Practice address
1255 E 3900 S, SALT LAKE CITY, UT 84124-1334
(801) 281-3353
(801) 281-3373
Mailing address
1255 E 3900 S STE 300, SALT LAKE CITY, UT 84124-1389
(801) 281-3353
(801) 281-3373
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
11489
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11489
STATE LICENSE NUMBER
UT
Enumeration date
07/26/2006
Last updated
11/28/2007
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