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A New Life Services INC

Community/Behavioral Health in Raleigh, NC. Organization (NPI-2).

NPI number1679882393
StatusActive
Last updated in NPPESDec 12, 2017

Details

NPI
1679882393
Entity type
Organization (NPI-2)
Legal business name
A New Life Services INC
Organization subpart
No
Enumeration date
Sep 29, 2010
Last updated
Dec 12, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health–NCYes
251S00000X Community/Behavioral Health––

Practice location

312 W Millbrook Rd Suite 129
Raleigh, NC 27609-8147

Phone 919-877-6101 · Fax 919-876-4953

Mailing address

312 W Millbrook Rd Suite 129
Raleigh, NC 27609-8147

Phone 919-877-6101 · Fax 919-876-4953

Authorized official

Ramon Amable Fernandez
Owner
9198776101

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