Organization
LIFES RESTORATION HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKRESHA MCLEAN (CEO)
(910) 557-5000
Entity
Organization
Contact information
Practice address
108 ROSEMONT AVE, HAMLET, NC 28345-4764
(910) 557-5000
Mailing address
108 ROSEMONT AVE, HAMLET, NC 28345-4764
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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