Organization
NEW LIFE MENTAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO CARRILLO (PRESIDENT)
(786) 712-9693
Entity
Organization
Contact information
Practice address
790 NW 107TH AVE STE 107, MIAMI, FL 33172-3100
(786) 712-9693
Mailing address
10581 SW 155TH CT APT 1211, MIAMI, FL 33196-3537
(786) 712-9693
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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