# NEW LIFE FAMILY SERVICE

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

## Provider details

- **NPI number:** 1215181953
- **Authorized official:** BRIA LEE PARKS (CEO)
- **Authorized official phone:** (336) 235-1969

## Contact information

- **Practice address:** 112 CORLISS ST, GREENSBORO, NC 27406-5208
- **Practice address phone:** (336) 235-1969
- **Mailing address:** 112 CORLISS ST, GREENSBORO, NC 27406-5208
- **Mailing address phone:** (336) 235-1969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-041-644 | NC | Yes |

## Other

- **Enumeration date:** 11/07/2008
- **Last updated:** 11/07/2008