Organization
LAMP ON A STAND LIFE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ANTHONY BURCHETTE (OWNER)
(336) 423-6140
Entity
Organization
Contact information
Practice address
130 HILL ST, ELKIN, NC 28621-2416
(336) 423-6140
Mailing address
210 NE 39TH ST, OAK ISLAND, NC 28465-5639
(336) 423-6140
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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