Organization
NEW LIFE CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA BENNETT (EXECUTIVE DIRECTOR)
(919) 578-3849
Entity
Organization
Contact information
Practice address
8601 SIX FORKS RD STE 487, RALEIGH, NC 27615-5276
(919) 984-3849
Mailing address
PO BOX 24982, RALEIGH, NC 27611-4982
(919) 578-3849
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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