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Organization

THE DOOR OF LIFE RESIDENTIAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HARVEY W CAMPBELL (CEO)
(336) 420-3195
Entity
Organization

Contact information

Practice address
227 CONSTITUTION WAY, CAMERON, NC 28326-9296
(336) 420-3195
Mailing address
1504 BRAMBER PL, CONWAY, SC 29527-3177

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL043069
NC

Other

Enumeration date
03/12/2007
Last updated
06/24/2008
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