Organization
ABC'S OF LIVING LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVAN JULIUS FOSTER (OWNER)
(919) 394-5104
Entity
Organization
Contact information
Practice address
201 W WALNUT ST, GOLDSBORO, NC 27530-3652
(919) 429-8975
(919) 666-1493
Mailing address
201 W WALNUT ST, GOLDSBORO, NC 27530-3652
(919) 429-8975
(919) 666-1493
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-096-258
NC
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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