Lyfes New Direction
Community/Behavioral Health in Winston Salem, NC. Organization (NPI-2).
NPI number1003049685
StatusActive
Last updated in NPPESAug 28, 2009
Details
- NPI
- 1003049685
- Entity type
- Organization (NPI-2)
- Legal business name
- Lyfes New Direction
- Organization subpart
- No
- Enumeration date
- Aug 28, 2009
- Last updated
- Aug 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | C2009212000082 | NC | Yes |
Practice location
1001 S Marshall St # 65Winston Salem, NC 27101-5852
Phone 336-721-4261 · Fax 336-721-4265
Mailing address
1001 S Marshall St # 65Winston Salem, NC 27101-5852
Phone 336-721-4261 · Fax 336-721-4265
Authorized official
Judith A Bagley
Organizer
3367214261
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