Provider Demographics
NPI:1841389228
Name:NEW LIFE YOUTH AND FAMILY SERVICES
Entity Type:Organization
Organization Name:NEW LIFE YOUTH AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:TARR
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:610-287-4901
Mailing Address - Street 1:585 FREEMAN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:SCHWENKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19473-2111
Mailing Address - Country:US
Mailing Address - Phone:610-287-4901
Mailing Address - Fax:610-287-7886
Practice Address - Street 1:585 FREEMAN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:SCHWENKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19473-2111
Practice Address - Country:US
Practice Address - Phone:610-287-4901
Practice Address - Fax:610-287-7886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA114770322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children