Provider Demographics
NPI:1750852703
Name:NEW LIFE TREATMENT CENTER INC.
Entity Type:Organization
Organization Name:NEW LIFE TREATMENT CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MALEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-676-5400
Mailing Address - Street 1:1940 EAST ORANGEWOOD AVENUE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868
Mailing Address - Country:US
Mailing Address - Phone:626-644-0070
Mailing Address - Fax:
Practice Address - Street 1:1940 W ORANGEWOOD AVE STE 204
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2009
Practice Address - Country:US
Practice Address - Phone:626-644-0070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health