Organization
NEW LIFE OF COMMUNITY HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY GAFT (VICE PRESIDENT/ADMINISTRATOR)
(215) 708-2100
Entity
Organization
Contact information
Practice address
3103 HULMEVILLE RD, SUITE 102, BENSALEM, PA 19020-4381
(215) 638-8600
(215) 638-3856
Mailing address
6722 BUSTLETON AVE, PHILADELPHIA, PA 19149-2341
(215) 708-2100
(215) 708-1650
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
100250
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016619250005
—
PA
Enumeration date
03/20/2008
Last updated
03/20/2008
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