| The Center For New Life Pc | |
|
126 Creekside Ln Winchester VA 22602-2429 | |
| (540) 667-4696 | |
| (540) 667-4698 |
| Full Name | The Center For New Life Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 126 Creekside Ln, Winchester, Virginia |
| Authorized Official Name and Position | Jonathan Doyle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5406674696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For New Life Pc Po Box 2017 Winchester VA 22604-1217 Ph: (540) 667-4696 | The Center For New Life Pc 126 Creekside Ln Winchester VA 22602-2429 Ph: (540) 667-4696 |
| NPI Number | 1770759540 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770759540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904005192 (Virginia) | Primary |
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