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Organization

NEW WAY OF LIFE MINISTRIES

Active
Other names
New Way Of Life
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHAWN HEALTH (CEO)
(404) 934-3176
Entity
Organization

Contact information

Practice address
3065 MIDWAY RD, DECATUR, GA 30032-2812
(404) 934-3176
Mailing address
PO BOX 274, SCOTTDALE, GA 30079-0274

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261QC1500X
Community Health Clinic/Center
261QH0100X
Health Service Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
07/27/2012
Last updated
07/27/2012
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