Organization
NEW LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD E ROMAN (CAO)
(757) 595-3890
Entity
Organization
Contact information
Practice address
11030 WARWICK BLVD BLDG B, NEWPORT NEWS, VA 23601-3250
(757) 595-3890
(757) 595-3891
Mailing address
11030 WARWICK BLVD BLDG B, NEWPORT NEWS, VA 23601-3250
(757) 595-3890
(757) 595-3891
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1729
VA
Other
Enumeration date
08/15/2012
Last updated
08/20/2020
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