# A POSITIVE LIFE

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

## Provider details

- **NPI number:** 1326186578
- **Authorized official:** MR. WALTER YOUNG BS (DIRECTOR)
- **Authorized official phone:** (910) 223-7300

## Contact information

- **Practice address:** 6033 CONCHO CT, FAYETTEVILLE, NC 28303-2509
- **Practice address phone:** (910) 480-2555
- **Practice address fax:** (910) 323-3206
- **Mailing address:** 351 WAGONER DR, FAYETTEVILLE, NC 28303-4608
- **Mailing address phone:** (910) 223-7300
- **Mailing address fax:** (910) 323-3206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL026742 | NC | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 09/10/2007