Organization
NEW LIFE BEHAVIOR HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABRAHAM AGIBA PMHNP (CEO)
(310) 490-7956
Entity
Organization
Contact information
Practice address
5024 TORRANCE BLVD, TORRANCE, CA 90503-4116
(310) 490-7956
Mailing address
5024 TORRANCE BLVD, TORRANCE, CA 90503-4116
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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