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Organization
LIFEPATH LLC
Active
Organization
LIFEPATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESHA HILL (EXECUTIVE DIRECTOR)
(336) 255-3367
Entity
Organization
Contact information
Practice address
5908 S NC HIGHWAY 49, BURLINGTON, NC 27215-9621
(336) 255-3367
Mailing address
4565 VERNON FARMS BLVD, KERNERSVILLE, NC 27284-0130
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/11/2011
Last updated
06/11/2011
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