NPI 1992995054
New Life Center for Change
Practice location
- Address
- 707 Dillingham St, Phenix City, AL 36867-6309
- Phone
- (334) 298-0000
- Fax
- (334) 298-0519
Authorised official
- Name
- Alfonza Smith
- Title
- Executive Director
- Phone
- (334) 298-0782
Registered specialties (2)
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Registry record
- NPI
- 1992995054
- Entity type
- Organization
- NPI issued
- 25 Jul 2007
- Record last updated
- 25 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.