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Organization
STAY 4 LIFE
Active
Organization
STAY 4 LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE DANIELS (OWNER/MANAGER)
(252) 327-5821
Entity
Organization
Contact information
Practice address
3208 MORTON LN, GREENVILLE, NC 27834-4930
(252) 327-5821
Mailing address
3208 MORTON LN, GREENVILLE, NC 27834-4930
(252) 327-5821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
09/23/2026
Last updated
09/30/2026
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