Organization
NEW LIFE TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOVANES PETROSIAN (OWNER)
(781) 697-0607
Entity
Organization
Contact information
Practice address
1254 MAIN ST, WALTHAM, MA 02451-1739
(781) 472-2420
Mailing address
1322 AVALON WAY, PLYMOUTH, MA 02360-7768
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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