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Organization
SUCCESS FOR LIFE INC
Active
Organization
SUCCESS FOR LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERVIS NASH (CEO)
(704) 299-1263
Entity
Organization
Contact information
Practice address
4627 N SHARON AMITY RD, CHARLOTTE, NC 28205-4676
(704) 299-1263
Mailing address
4627 N SHARON AMITY RD, CHARLOTTE, NC 28205-4676
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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