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New Life Center for Change, Inc.

Details

Name: New Life Center for Change, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 08 Dec 1998 (26 years ago) (Companies founded in December 1998)
Entity Number: 000-551-057
Register Number: 000551057
ZIP code: 36877 (Companies in Lee, 36877)
County: Lee
Place of Formation: Russell County
Principal Address: SMITH, AL
Registered Office Street Address: 222 LEE RD 567SMITH, AL 36877

Activities PROVIDE EDUCATION/EMPLOYMENT/HEALTH/COMMUNITY EMPLOYMENT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992995054 2007-07-25 2007-07-25 707 DILLINGHAM ST, PHENIX CITY, AL, 368676309, US 707 DILLINGHAM ST, PHENIX CITY, AL, 368676309, US

Contacts

Phone +1 334-298-0000
Fax 3342980519

Authorized person

Name ALFONZA SMITH
Role EXECUTIVE DIRECTOR
Phone 3342980782

Taxonomy

Taxonomy Code 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility
License Number 031801
State AL
Is Primary No
Taxonomy Code 322D00000X - Emotionally Disturbed Childrens' Residential Treatment Facility
License Number 031801
State AL
Is Primary Yes

Agent

Name Role
SMITH, ALFONZA Agent

Incorporator

Name Role
SMITH, ALFONZA Incorporator
EVANS, EVELYN Incorporator
SMITH, THEORIA Incorporator

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State