# NEW LIFE MENTAL MANAGEMENT CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063921401
- **Authorized official:** MR. IHOSVANY ESCOBAR (VICE PRESIDENT)
- **Authorized official phone:** (786) 457-1263

## Contact information

- **Practice address:** 3904 NW 167TH ST, OPA LOCKA, FL 33054-6233
- **Practice address phone:** (305) 393-5303
- **Practice address fax:** (305) 513-9338
- **Mailing address:** 3904 NW 167TH ST, OPA LOCKA, FL 33054-6233
- **Mailing address phone:** (305) 393-5303
- **Mailing address fax:** (305) 513-9338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | FL | Yes |

## Other

- **Enumeration date:** 09/28/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 685797 | — | FL |