Organization
NEW LIFE TRANSITIONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIKA HARRIS (EXECUTIVE DIRECTOR)
(757) 575-5535
Entity
Organization
Contact information
Practice address
1919 COMMERCE DR STE 315, HAMPTON, VA 23666-4298
(757) 204-5469
Mailing address
1919 COMMERCE DR STE 315, HAMPTON, VA 23666-4298
(757) 204-5469
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
06/06/2024
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