19D2296348 CLIA NUMBER - NEW LIFE RECOVERY CLINIC FOR ADDICTION, INC

Laboratory Demographics

CLIA Number: 19D2296348

Facility Name: NEW LIFE RECOVERY CLINIC FOR ADDICTION, INC

Facility Address:
1520 E JUDGE PEREZ DR
CHALMETTE, LA
ZIP 70043
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Facility Phone Number: 504 324-7195

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700552668

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	19D2296348
LAB Type	Physician Office
Facility Name	NEW LIFE RECOVERY CLINIC FOR ADDICTION, INC
Street	1520 E JUDGE PEREZ DR
City	CHALMETTE
State	LA
ZIP	70043
Phone	504 324-7195
CertificateType	4
CertificateEffectiveDate	12/27/2023
CertificateExpirationDate	12/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024