# STAY 4 LIFE

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

## Provider details

- **NPI number:** 1346153350
- **Authorized official:** JESSE DANIELS (OWNER/MANAGER)
- **Authorized official phone:** (252) 327-5821

## Contact information

- **Practice address:** 3208 MORTON LN, GREENVILLE, NC 27834-4930
- **Practice address phone:** (252) 327-5821
- **Mailing address:** 3208 MORTON LN, GREENVILLE, NC 27834-4930
- **Mailing address phone:** (252) 327-5821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 103TA0700X | Adult Development & Aging Psychologist | — | — | Yes |
| 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