| NPI | 1780498311 |
|---|---|
| Doing Business As | NEW LIFE |
| Entity Type | Organization |
| Authorized Contact | WADE PHILLIPS Manager 938-888-4697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |