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Organization
NEW LIFE COMMUNITY SERVICES, LLC
Active
Organization
NEW LIFE COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRENITA ROGERS (CEO)
(252) 215-1172
Entity
Organization
Contact information
Practice address
105 E VICTORIA CT STE A, GREENVILLE, NC 27858-5755
(252) 215-1172
(252) 215-1173
Mailing address
PO BOX 8611, GREENVILLE, NC 27835-8611
(252) 215-1172
(252) 215-1173
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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