# NEW LIFE COUNSELING AND COMMUNITY SERVICES, LLC

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

## Provider details

- **NPI number:** 1780099333
- **Authorized official:** MR. PATRICK JUMBO EYO (PRESIDENT/CEO)
- **Authorized official phone:** (313) 465-5111

## Contact information

- **Practice address:** 7810 SOUTHFIELD FWY, DETROIT, MI 48228-3580
- **Practice address phone:** (313) 465-5111
- **Mailing address:** 7810 SOUTHFIELD FWY, DETROIT, MI 48228-3580
- **Mailing address phone:** (313) 465-5111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 6301015504 | MI | Yes |

## Other

- **Enumeration date:** 06/23/2014
- **Last updated:** 08/13/2014