New Life Recovery Clinic 2

LBN: New Life Recovery Clinic 2
New Life Recovery Clinic 2 is an health care organization with primary practice located at 25201 Chagrin Blvd Ste 390 , Beachwood OH 44122-5637. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. New Life Recovery Clinic 2 can be contacted via phone (216) 770-3130, or through Tichavakunda, Akari via phone (216) 770-3130.

Contact Information

Primary practice address
25201 Chagrin Blvd Ste 390 Beachwood OH 44122-5637
Phone: (216) 770-3130
Fax: (216) 770-3100
Website:
Map and Directions
Authorized official contact:
Name: Tichavakunda, Akari Doctor of Medicine (MD)
Phone: (216) 770-3130

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1528711801
LBN Legal business name New Life Recovery Clinic 2
DBA Doing business as
Authorized official Tichavakunda, Akari Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2022
Last updated Jan 27th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528711801 NPPES
Ohio MEDICAID 1366431850

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