Organization
A POSITIVE LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER LEE YOUNG BS (CEO)
(252) 442-2676
Entity
Organization
Contact information
Practice address
854 TIFFANY BLVD, SUITE 201, ROCKY MOUNT, NC 27804-1949
(252) 442-2676
Mailing address
854 TIFFANY BLVD, SUITE 201, ROCKY MOUNT, NC 27804-1949
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL026742
NC
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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