Organization
LIFECYCLES OF ALAMANCE/CASWELL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMERA B. WILSON (OWNER/ADMINISTRATOR)
(336) 213-0975
Entity
Organization
Contact information
Practice address
1865 N NC HIGHWAY 62, BURLINGTON, NC 27217-8327
(336) 222-9896
(336) 229-2385
Mailing address
532 FERNWAY DR, BURLINGTON, NC 27217-8850
(336) 213-0975
(336) 229-2385
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-001-144
NC
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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