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Organization
UPLIFT COMPREHENSIVE SERVICES
Active
Organization
UPLIFT COMPREHENSIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRETT TODD TAYLOR (CEO)
(252) 916-5791
Entity
Organization
Contact information
Practice address
1712 W SIXTH ST, GREENVILLE, NC 27834-2804
(252) 695-6536
Mailing address
PO BOX 1123, WINDSOR, NC 27983-1123
(252) 794-3834
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-008-043
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL-008-043
NCDHHS LICENSE NUMBER
NC
Enumeration date
03/22/2009
Last updated
03/22/2009
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