Provider Demographics
NPI:1942327390
Name:THE NEW LIFE GROUP
Entity Type:Organization
Organization Name:THE NEW LIFE GROUP
Other - Org Name:NEW LIFE NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:EDD LMFT
Authorized Official - Phone:925-798-4551
Mailing Address - Street 1:140 GREGORY LN
Mailing Address - Street 2:SUITE250
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3399
Mailing Address - Country:US
Mailing Address - Phone:925-798-4551
Mailing Address - Fax:925-798-4551
Practice Address - Street 1:140 GREGORY LN
Practice Address - Street 2:SUITE250
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3399
Practice Address - Country:US
Practice Address - Phone:925-798-4551
Practice Address - Fax:925-798-4551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 28479106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty