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NEW LIFE FAMILY SERVICE NPI 1215181953


NPI Information

NPI: 1215181953
Provider Name: NEW LIFE FAMILY SERVICE
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
112 CORLISS ST
GREENSBORO, NC
ZIP 27406
Phone: (336) 235-1969
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NEW LIFE FAMILY SERVICE is a residential treatment facility emotionally disturbed children in Greensboro, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. NEW LIFE FAMILY SERVICE NPI is 1215181953. The provider is registered as an organization entity type.

The provider's business location address is:

112 CORLISS ST
GREENSBORO, NC
ZIP 27406-208
Phone: (336) 235-1969

The provider's authorized official is Bria Lee Parks .
The authorized official title is Ceo and has the following contact phone number (336) 235-1969.

The enumeration date for this NPI number is 11/7/2008 and was last updated on 11/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-644NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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