# A POSITIVE LIFE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033342258
- **Authorized official:** MR. WALTER LEE YOUNG BS (DIRECTOR/OWNER)
- **Authorized official phone:** (910) 223-7300

## Contact information

- **Practice address:** 3108 DYKE ST, FAYETTEVILLE, NC 28306-2809
- **Practice address phone:** (910) 223-7300
- **Practice address fax:** (910) 323-3206
- **Mailing address:** 3108 DYKE ST, FAYETTEVILLE, NC 28306-2809
- **Mailing address phone:** (910) 223-7300
- **Mailing address fax:** (910) 323-3206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-026742 | NC | Yes |

## Other

- **Enumeration date:** 09/04/2009
- **Last updated:** 09/04/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603408 | — | NC |
| 05 | — | 8301441 | — | NC |