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A Positive Life INC

Community/Behavioral Health in Rocky Mount, NC. Organization (NPI-2).

NPI number1205011657
StatusActive
Last updated in NPPESJan 4, 2008

Details

NPI
1205011657
Entity type
Organization (NPI-2)
Legal business name
A Positive Life INC
Organization subpart
No
Enumeration date
Jan 4, 2008
Last updated
Jan 4, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral HealthMHL026742NCYes

Practice location

854 Tiffany Blvd
Suite 201
Rocky Mount, NC 27804-1949

Phone 252-442-2676

Mailing address

854 Tiffany Blvd
Suite 201
Rocky Mount, NC 27804-1949

Authorized official

Walter Lee Young
Ceo
2524422676

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