Organization
NEW LIFE WELLNESS CENTER OF CA
Active
Other names
Aurora Wellness Rediscovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MOORE (CEO)
(310) 425-8433
Entity
Organization
Contact information
Practice address
3685 MOTOR AVE STE 150, LOS ANGELES, CA 90034-7203
(310) 425-8433
Mailing address
9663 SANTA MONICA BLVD # 730, BEVERLY HILLS, CA 90210-4303
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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