Organization
NEW LIFE MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELA OTERO (PRESIDENT)
(954) 321-3977
Entity
Organization
Contact information
Practice address
6700 GRIFFIN RD, SUITE J, DAVIE, FL 33314-4300
(954) 321-3977
(954) 321-3947
Mailing address
6700 GRIFFIN RD, SUITE J, DAVIE, FL 33314-4300
(954) 321-3977
(954) 321-3947
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
HCC7878
FL
Other
Enumeration date
10/26/2007
Last updated
05/06/2008
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