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Organization
NEW LIFE FOUNDATIONS
Active
Organization
NEW LIFE FOUNDATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LESLIE L BREWSTER C.M./QP (ADMINISTRATOR)
(919) 672-0751
Entity
Organization
Contact information
Practice address
5021 MILLER DR, DURHAM, NC 27704-1877
(919) 672-0751
Mailing address
614 NORTH MADISION BLVD, ROXBORO, NC 27573-4636
(919) 672-0751
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639338395
—
NC
Enumeration date
09/01/2009
Last updated
09/01/2009
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