Provider Demographics
NPI:1811458573
Name:NEW LIFE FOUNDATION RECOVERY INC
Entity type:Organization
Organization Name:NEW LIFE FOUNDATION RECOVERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:IKONNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-317-2212
Mailing Address - Street 1:1541 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-1826
Mailing Address - Country:US
Mailing Address - Phone:302-317-2212
Mailing Address - Fax:302-365-5648
Practice Address - Street 1:11 PARKWAY CIR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-4077
Practice Address - Country:US
Practice Address - Phone:302-562-0639
Practice Address - Fax:302-365-5648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2019-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty