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New Life Medicine
Substance Use Disorder Rehabilitation Clinic/Center in Johnson City, Tennessee
NPI 1114462215

New Life Medicine is a Substance Use Disorder Rehabilitation Clinic/Center based in Johnson City, TN and is specialized in Rehabilitation, Substance Use Disorder. New Life Medicine practices in Johnson City, TN. The NPI Number for New Life Medicine is 1114462215 and holds a License No. (Tennessee).

The current practice location address for New Life Medicine is 2408 Susannah St Ste 1, Johnson City, TN and can be reached out via phone at 423-434-6677 and via fax at 423-461-0000.

Location: 2408 Susannah St Ste 1, Johnson City, TN, 37601-1765
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114462215
Provider Name
New Life Medicine
Credential
Provider Entity Type
Organization
Address
2408 Susannah St Ste 1, Johnson City, TN, 37601-1765
Phone Number
423-434-6677
Fax Number
423-461-0000
Provider Enumeration Date
12/27/2016
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2017139831 05 VA
7100519480 05 KY
Q026013 05 TN
institution
Provider Business Practice Location Address Details
Address
2408 Susannah St Ste 1
City
Johnson City
State
Tennessee
Zip
37601-1765
Phone Number
423-434-6677
Fax Number
423-461-0000
person
Provider Business Mailing Address Details
Address
2408 Susannah St Ste 1
City
Johnson City
State
Tennessee
Zip
37601-1765
Phone Number
423-434-6677
Fax Number
423-461-0000
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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