Organization
NEW LIFE FAMILY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIA LEE PARKS (CEO)
(336) 235-1969
Entity
Organization
Contact information
Practice address
112 CORLISS ST, GREENSBORO, NC 27406-5208
(336) 235-1969
Mailing address
112 CORLISS ST, GREENSBORO, NC 27406-5208
(336) 235-1969
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-644
NC
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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