Organization
NEW LIFE TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BOTERO (CEO)
(954) 614-1599
Entity
Organization
Contact information
Practice address
7522 WILES RD, SUITE 112, CORAL SPRINGS, FL 33067-2062
(954) 345-5556
Mailing address
7522 WILES RD, SUITE 112, CORAL SPRINGS, FL 33067-2062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ISW3945
FL
101YM0800X
Mental Health Counselor
MH11418
FL
101YP2500X
Professional Counselor
MH 10146
FL
106H00000X
Marriage & Family Therapist
IMT1330
FL
324500000X
Substance Abuse Rehabilitation Facility
Primary
ME63855
FL
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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