# NEW LIFE CHILDREN'S HOME

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

## Provider details

- **NPI number:** 1912136144
- **Authorized official:** MRS. PAMELA MARIE WHITAKER LMSW (ADMINISTRATOR)
- **Authorized official phone:** (870) 217-9125

## Contact information

- **Practice address:** 50 4TH ST, OIL TROUGH, AR 72564
- **Practice address phone:** (870) 264-3757
- **Practice address fax:** (870) 264-9300
- **Mailing address:** PO BOX 885, NEWPORT, AR 72112-0885
- **Mailing address phone:** (870) 264-3757
- **Mailing address fax:** (870) 264-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 20128 | AR | Yes |

## Other

- **Enumeration date:** 07/09/2009
- **Last updated:** 07/09/2009