Provider Demographics
NPI:1063838126
Name:NEW LIFESTYLES, INC
Entity Type:Organization
Organization Name:NEW LIFESTYLES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:CUAVE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:540-722-4521
Mailing Address - Street 1:PO BOX 64
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22604-0064
Mailing Address - Country:US
Mailing Address - Phone:540-722-4521
Mailing Address - Fax:540-722-0223
Practice Address - Street 1:230 W BOSCAWEN ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4118
Practice Address - Country:US
Practice Address - Phone:540-722-4521
Practice Address - Fax:540-722-0223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental IllnessGroup - Single Specialty