# NEW LIFE CENTER FOR CHANGE

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

## Provider details

- **NPI number:** 1992995054
- **Authorized official:** ALFONZA SMITH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (334) 298-0782

## Contact information

- **Practice address:** 707 DILLINGHAM ST, PHENIX CITY, AL 36867-6309
- **Practice address phone:** (334) 298-0000
- **Practice address fax:** (334) 298-0519
- **Mailing address:** 707 DILLINGHAM ST, PHENIX CITY, AL 36867-6309
- **Mailing address phone:** (334) 298-0000
- **Mailing address fax:** (334) 298-0519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 031801 | AL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 031801 | AL | Yes |

## Other

- **Enumeration date:** 07/25/2007
- **Last updated:** 07/25/2007