| New Living Center, Llc | |
|
28175 Haggerty Rd Ste 153 Novi MI 48377-2903 | |
| (248) 907-0740 | |
| Not Available |
| Full Name | New Living Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 28175 Haggerty Rd Ste 153, Novi, Michigan |
| Authorized Official Name and Position | Shavon Andrea Walton (OWNER) |
| Authorized Official Contact | 2489070740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Living Center, Llc 28175 Haggerty Rd Ste 153 Novi MI 48377-2903 Ph: (248) 907-0740 | New Living Center, Llc 28175 Haggerty Rd Ste 153 Novi MI 48377-2903 Ph: (248) 907-0740 |
| NPI Number | 1518670538 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518670538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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