NEW LIFE RECOVERY CENTERINC NPI 1689729444

NPI Information

NPI: 1689729444
Provider Name: NEW LIFE RECOVERY CENTER,INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
23 COLFAX AVE
POMPTON LAKES, NJ
ZIP 07442
Phone: (973) 728-7788
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NEW LIFE RECOVERY CENTER,INC is a rehabilitation and substance use disorder clinic center in Pompton Lakes, NJ. NEW LIFE RECOVERY CENTER,INC NPI is 1689729444. The provider is registered as an organization entity type.

The provider's business location address is:

23 COLFAX AVE
POMPTON LAKES, NJ
ZIP 07442-709
Phone: (973) 728-7788
Fax: (973) 728-7410

The provider's authorized official is Eugene Mclaughlin .
The authorized official title is Director and has the following contact phone number (973) 728-7788.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	22773	NEW JERSEY	Yes
2	276400000X	Rehabilitation, Substance Use Disorder Unit				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8078700	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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