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A POSITIVE LIFE

Residential Treatment Facilities Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Provider NPI: 1326186578

Organization Information:
Organization Name:  A POSITIVE LIFE
Organization is not Subpart
Authorized Official:  WALTER  YOUNG  DIRECTOR  910-223-7300

Practice Location:
6033 CONCHO CT  FAYETTEVILLE, NC 28303-2509 US
Tel: 910-480-2555  Fax: 910-323-3206

Business Mailing Address:
351 WAGONER DR  FAYETTEVILLE, NC 28303-4608 US
Tel: 910-223-7300  Fax: 910-323-3206

NPI Information:
NPI: 1326186578
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y320600000XResidential Treatment Facilities
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
NCMHL026742

Other Provider Identifiers:

IssuerNumberStateType
6603408NC05



American Medical Association 2012 taxonomy code information

Code: 320600000X

Type:

Classification:



Definition:



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