Organization
NEW LIFE ADDICTION TREATMENT CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY A GUILFOYLE SR. (CEO)
(714) 492-9035
Entity
Organization
Contact information
Practice address
24882 STEM AVE, LAKE FOREST, CA 92630-5224
(714) 492-9035
(949) 407-4888
Mailing address
23785 EL TORO RD # 271, LAKE FOREST, CA 92630-4762
(714) 492-9035
(949) 407-4888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
300378AP
CA
101YM0800X
Mental Health Counselor
300378AP
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
300378AP
CA
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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