Organization
NEW LIFE RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT SERRATO (OWNER)
(509) 668-0092
Entity
Organization
Contact information
Practice address
25 N WENATCHEE AVE STE 214, WENATCHEE, WA 98801-2283
(509) 669-9582
Mailing address
25 N WENATCHEE AVE STE 214, WENATCHEE, WA 98801-2283
(253) 528-6091
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604768996
UBI
WA
Enumeration date
06/23/2021
Last updated
04/22/2022
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