Organization
NEW LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TODD BOWEN (PRESIDENT)
(304) 593-1369
Entity
Organization
Contact information
Practice address
130 PEBBLE LN, POINT PLEASANT, WV 25550-4236
(304) 593-1369
(724) 788-1243
Mailing address
PO BOX 470, POINT PLEASANT, WV 25550-0470
(304) 593-1369
(724) 788-1243
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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