Organization
THE VILLAGE LIFE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYANNA CARR (CEO)
(919) 723-8799
Entity
Organization
Contact information
Practice address
58155 CHINN ST STE B, PLAQUEMINE, LA 70764-3601
(225) 385-4543
(866) 825-9703
Mailing address
9660 FALLS OF NEUSE RD STE 138, RALEIGH, NC 27615-2435
(919) 723-8799
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/13/2014
Last updated
05/31/2024
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