New Life Youth and Family Services

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

114770 Issued in PA

Legal business name

NEW LIFE YOUTH AND FAMILY SERVICES

Practice address

585 Freeman School Rd
Schwenksville, PA 19473-2111

Phone

(610) 287-4901

Fax

(610) 287-7886

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William R. Tarr Jr.

Title

President

Phone

(610) 287-4901

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841389228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 FREEMAN SCHOOL RD",
            "city": "SCHWENKSVILLE",
            "state": "PA",
            "postal_code": "194732111",
            "telephone_number": "610-287-4901",
            "fax_number": "610-287-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 FREEMAN SCHOOL RD",
            "city": "SCHWENKSVILLE",
            "state": "PA",
            "postal_code": "194732111",
            "telephone_number": "610-287-4901",
            "fax_number": "610-287-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TARR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-287-4901",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "PA",
            "license": "114770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Mondillo, ANP-BC
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• Emotionally Disturbed Childrens' Residential Treatment Facility in Schwenksville, PA
• Providers in Schwenksville, PA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.