Transitional Life, LLC
Community/Behavioral Health in Matthews, NC. Organization (NPI-2).
NPI number1417301045
StatusActive
Last updated in NPPESApr 20, 2016
Details
- NPI
- 1417301045
- Entity type
- Organization (NPI-2)
- Legal business name
- Transitional Life, LLC
- Organization subpart
- No
- Enumeration date
- Apr 20, 2016
- Last updated
- Apr 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | NC | Yes |
Practice location
4202 Painted Trillium CtMatthews, NC 28105-0120
Phone 704-904-1770
Mailing address
4202 Painted Trillium CtMatthews, NC 28105-0120
Authorized official
Nicole Denise Gomez
Ceo
7049041770
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