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Organization
NEW WALKS OF LIFE LLC
Active
Organization
NEW WALKS OF LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ETTA SERENA FAISON LCSW (MEMBER)
(910) 564-4424
Entity
Organization
Contact information
Practice address
383 SERENITY LAKE DR, CLINTON, NC 28328-8919
(910) 564-4424
(910) 564-4424
Mailing address
383 SERENITY LAKE DR, CLINTON, NC 28328-8919
(910) 564-4424
(910) 564-4424
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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