| New Life 360 Temple Terrace Inc | |
|
1067 E Brandon Blvd Brandon FL 33511-5515 | |
| (813) 548-1166 | |
| Not Available |
| Full Name | New Life 360 Temple Terrace Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1067 E Brandon Blvd, Brandon, Florida |
| Authorized Official Name and Position | Kimberly M Meek (CEO) |
| Authorized Official Contact | 8134181966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life 360 Temple Terrace Inc 710 Vanderbaker Rd Temple Terrace FL 33617-7867 Ph: (813) 418-1966 | New Life 360 Temple Terrace Inc 1067 E Brandon Blvd Brandon FL 33511-5515 Ph: (813) 548-1166 |
| NPI Number | 1689496911 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689496911 | NPI | - | NPPES |
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