Life Beyond The Horizon
Community/Behavioral Health in Wyoming, MI. Organization (NPI-2).
NPI number1669948915
StatusActive
Last updated in NPPESOct 15, 2018
Details
- NPI
- 1669948915
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Beyond The Horizon
- Organization subpart
- No
- Enumeration date
- Oct 15, 2018
- Last updated
- Oct 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 104100000X | Social Worker | – | – | |
| 133V00000X | Dietitian, Registered | – | – | |
| 163W00000X | Registered Nurse | – | – | |
| 251B00000X | Case Management | – | – | |
| 251E00000X | Home Health | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 253J00000X | Foster Care Agency | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | |
| 332U00000X | Home Delivered Meals | – | – |
Other names
- Cycle Of Life Empowerment Achievement Programs (Doing Business As)
Practice location
740 32nd St SeWyoming, MI 49548-2329
Phone 833-616-4357 · Fax 833-616-4357
Mailing address
740 32nd St SeWyoming, MI 49548-2329
Phone 616-325-0662 · Fax 833-968-7265
Authorized official
Theresa Latrice Williams
Ceo
6163250662
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