Organization
NEW LIFE HAVEN MININSTRIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLADYS G STEPHENS (PRES.)
(321) 225-0608
Entity
Organization
Contact information
Practice address
4919 W COLONIAL DR, ORLANDO, FL 32808-7703
(407) 610-5509
Mailing address
5027 LIDO ST, ORLANDO, FL 32807-1323
(321) 225-0608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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