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Organization
UPLIFT COMPREHENSIVE SERVICES
Active
Organization
UPLIFT COMPREHENSIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TAYLOR (CFO / CO-OWNER)
(252) 334-1536
Entity
Organization
Contact information
Practice address
142 W MAIN ST, WILLIAMSTON, NC 27892-2472
(919) 792-3591
Mailing address
PO BOX 1408, ELIZABETH CITY, NC 27906-1408
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8300650
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300650
—
NC
Enumeration date
10/19/2006
Last updated
12/18/2008
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