| New Life Outpatient Center | |
|
2322 E Kimberly Rd Ste. 200 North Davenport IA 52807-7205 | |
| (563) 355-0055 | |
| (563) 355-0101 |
| Full Name | New Life Outpatient Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2322 E Kimberly Rd, Davenport, Iowa |
| Authorized Official Name and Position | Austin Gross (CLINICAL MANAGER) |
| Authorized Official Contact | 5633550055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Outpatient Center 2322 E Kimberly Rd Ste. 200 North Davenport IA 52807-7205 Ph: (563) 355-0055 | New Life Outpatient Center 2322 E Kimberly Rd Ste. 200 North Davenport IA 52807-7205 Ph: (563) 355-0055 |
| NPI Number | 1740651579 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 10/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740651579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 101YA0400X (Iowa) | Primary |
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