Organization
NEW LIFE COMMUNITY SERVICE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE MARQURITA BELFON (DIRECTOR)
(202) 390-2697
Entity
Organization
Contact information
Practice address
6932 9TH ST NW, WASHINGTON, DC 20012-2406
(202) 390-2106
(202) 269-4503
Mailing address
PO BOX 5592, HYATTSVILLE, MD 20782-0592
(202) 390-2106
(202) 269-4503
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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