Organization
YOUTH FOR TOMORROW NEW LIFE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PEREZ (CONTROLLER)
(703) 636-5100
Entity
Organization
Contact information
Practice address
11835 HAZEL CIRCLE DR, BRISTOW, VA 20136-2180
(703) 368-7995
(703) 361-4335
Mailing address
11835 HAZEL CIRCLE DR, BRISTOW, VA 20136-2180
(703) 368-7995
(703) 361-4335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/18/2008
Last updated
02/26/2019
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