| NPI | 1801060900 |
|---|---|
| Former Legal Business Name | NEW LIFE COMMUNITY SERVICE |
| Entity Type | Organization |
| Authorized Contact | RENEE BELFON Resident Director 202-269-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: DC ALR-0025) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2010-08-13 |