OrganizationActive
Youth for Tomorrow New Life Center, Inc.
NPI 1902370109 · Community Health Clinic/Center · Bristow, VA
Provider details
- NPI number
- 1902370109
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lori Perez, Controller(703) 636-5100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11835 Hazel Circle Dr
Bristow, VA 20136-2180
Phone: (703) 636-5100
Fax: (703) 361-4335
Street-level locationGet directions
Mailing address
11835 Hazel Circle Dr
Bristow, VA 20136-2180
Registry dates
- Enumerated
- 2019-01-22
- Last updated
- 2019-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.