Organization
NEW LIFE SPIRIT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN GARNER CATC, CDAC (PRESIDENT)
(949) 721-1511
Entity
Organization
Contact information
Practice address
727 OWEN DR # ABC, HUNTINGTON BEACH, CA 92648-2588
(949) 721-1511
Mailing address
1053 GRANVILLE DR # CA, NEWPORT BEACH, CA 92660-6205
(949) 721-1511
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
300671AP
CA
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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