Provider Demographics
NPI:1932896321
Name:NEW LIFE DISCOVERY PROJECT INC.
Entity Type:Organization
Organization Name:NEW LIFE DISCOVERY PROJECT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:WETHERALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-941-9241
Mailing Address - Street 1:3310 CHURN CREEK RD STE A
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-2502
Mailing Address - Country:US
Mailing Address - Phone:530-941-9241
Mailing Address - Fax:
Practice Address - Street 1:1245 PINE ST # A
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0605
Practice Address - Country:US
Practice Address - Phone:530-941-9241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health