New Life Treatment Center

NPI #1417492810 in Woodstock, Minnesota

Provider Information

NPI Number: 1417492810
Entity Type: Organization
Organization Name: New Life Treatment Center
Primary Specialty: Physician Assistant
Enumeration Date: Dec 21, 2016
Last Updated: Dec 21, 2016

Practice Location

Address: 130 DAKOTA ST
City: Woodstock
State: Minnesota
ZIP Code: 56186
Phone: (507) 777-4321

Authorized Official

Name: CHERYL THACKER
Title: EXECUTIVE DIRECTOR
Phone: (507) 777-4321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Nurse Practitioner - Family — Family	363LF0000X
Physician Assistant	363A00000X	Primary

Similar Providers

Provider Name	Specialty	City
Brenda R Bullerman, PA-C	Physician Assistant	Adrian	AI Deep Dive
Diana L Nelson, PA	Physician Assistant	Austin	AI Deep Dive
Erin L Mason, PA	Physician Assistant	Aitkin	AI Deep Dive
Lisa A Howe, PA	Physician Assistant	Stillwater	AI Deep Dive
Todd Jeramie Holter, PAC	Physician Assistant	Woodbury	AI Deep Dive

Want to research this healthcare provider further?

Try NewBizBot free