OrganizationActive
New Life Center for Change
NPI 1992995054 · Emotionally Disturbed Childrens' Residential Treatment Facility · Phenix City, AL
Provider details
- NPI number
- 1992995054
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Alfonza Smith, Executive Director
- License
- 031801 (AL)
Practice location
707 Dillingham St
Phenix City, AL 36867-6309
Phone: (334) 298-0000
Fax: (334) 298-0519
Mailing address
707 Dillingham St
Phenix City, AL 36867-6309
Registry dates
- Enumerated
- 2007-07-25
- Last updated
- 2007-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.