# NEW LIFE COMMUNITY SERVICES

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

## Provider details

- **NPI number:** 1679877724
- **Authorized official:** MRS. TRENITA ROGERS (CEO)
- **Authorized official phone:** (252) 215-1172

## Contact information

- **Practice address:** 104 W FIRE TOWER RD, WINTERVILLE, NC 28590-9475
- **Practice address phone:** (252) 215-1172
- **Practice address fax:** (252) 215-1173
- **Mailing address:** PO BOX 8611, GREENVILLE, NC 27835-5735
- **Mailing address phone:** (252) 215-1172
- **Mailing address fax:** (252) 215-1173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/04/2011
- **Last updated:** 01/19/2011