New Life Dream Center
Supports Brokerage in Bethel Island, CA. Organization (NPI-2).
NPI number1942007240
StatusActive
Last updated in NPPESFeb 25, 2025
Details
- NPI
- 1942007240
- Entity type
- Organization (NPI-2)
- Legal business name
- New Life Dream Center
- Organization subpart
- No
- Enumeration date
- Feb 25, 2025
- Certification date
- Feb 25, 2025
- Last updated
- Feb 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251X00000X | Supports Brokerage | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Practice location
1200 Taylor RdBethel Island, CA 94511-0029
Phone 925-784-8444
Mailing address
Po Box 91Bethel Island, CA 94511-0091
Authorized official
Curtis Gee
Director
9257848444
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