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Organization
NEW LIFE CENTER LLC
Active
Organization
NEW LIFE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SMITH MSW, LCSW, LCAS, CCS (CEO)
(910) 506-4018
Entity
Organization
Contact information
Practice address
90 FORT WADE RD STE 100-1028, PONTE VEDRA, FL 32081-5146
(910) 506-4018
Mailing address
PO BOX 2153, LAURINBURG, NC 28353-2153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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