Organization
NEW LIFE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C. PROFERA ARNP (PRESIDENT/CEO)
(561) 329-3642
Entity
Organization
Contact information
Practice address
725 N HIGHWAY A1A, SUITE B106, JUPITER, FL 33477-4571
(561) 329-3642
(561) 747-0258
Mailing address
725 N HIGHWAY A1A, SUITE B106, JUPITER, FL 33477-4571
(561) 329-3642
(561) 747-0258
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2966762
FL
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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