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New Life 360 Inc.
VA Clinic/Center in Brandon, Florida
NPI 1194205542

New Life 360 Inc. is a VA Clinic/Center based in Brandon, FL and is specialized in VA. New Life 360 Inc. practices in Brandon, FL. The NPI Number for New Life 360 Inc. is 1194205542 and holds a License No. (Florida).

The current practice location address for New Life 360 Inc. is 1047 E Brandon Blvd, Brandon, FL and can be reached out via phone at 813-548-1166.

Location: 1047 E Brandon Blvd, Brandon, FL, 33511-5515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194205542
Provider Name
New Life 360 Inc.
Credential
Provider Entity Type
Organization
Address
1047 E Brandon Blvd, Brandon, FL, 33511-5515
Phone Number
813-548-1166
Fax Number
Provider Enumeration Date
08/15/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1047 E Brandon Blvd
City
Brandon
State
Florida
Zip
33511-5515
Phone Number
813-548-1166
Fax Number
person
Provider Business Mailing Address Details
Address
1047 E Brandon Blvd
City
Brandon
State
Florida
Zip
33511-5515
Phone Number
813-548-1166
Fax Number
person
Provider's Taxonomy Details 1
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 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
VA
Taxonomy
261QV0200X
License No.
()
Definition
Definition to come...
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