Organization
NEW LIFE ADDICTION AND RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BUFORD (CEO)
(253) 880-5557
Entity
Organization
Contact information
Practice address
5019 GROVE ST, 103A, MARYSVILLE, WA 98270-4487
(206) 407-3338
Mailing address
5019 GROVE ST, 103A, MARYSVILLE, WA 98270-4487
(206) 407-3338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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