Organization Active NPI

New Life Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Coral Springs, FL
National Provider Identifier
1962859009
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
ME63855 Issued in FL
Legal business name
NEW LIFE TREATMENT CENTER
Practice address
7522 Wiles Rd
Suite 112
Coral Springs, FL 33067-2062
Phone
(954) 345-5556
NPI assigned
May 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard Botero
Title
Ceo
Phone
(954) 614-1599

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X ISW3945 FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH11418 FL
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X MH 10146 FL
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X IMT1330 FL
Substance Abuse Rehabilitation Facility 324500000X ME63855 FL Primary

Addresses

Primary practice location

7522 Wiles Rd
Suite 112
Coral Springs, FL 33067-2062

Mailing address

7522 Wiles Rd
Suite 112
Coral Springs, FL 33067-2062

National Provider Directory

National Provider Directory

Locations

7522 Wiles Rd
Ste 112
Coral Springs, FL 33067
Phone (954) 345-5556

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1962859009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 WILES RD",
            "address_2": "SUITE 112",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 WILES RD",
            "address_2": "SUITE 112",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672062",
            "telephone_number": "954-345-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "BOTERO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-614-1599"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ISW3945",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11418",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH 10146",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT1330",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "ME63855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.