Organization
SPRING LIFE BEHAVIORAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHISOM ATUFUNWA BS, (OWNER)
(919) 451-1618
Entity
Organization
Contact information
Practice address
109 LONG CIR, ROANOKE RAPIDS, NC 27870-3162
(252) 535-6400
(252) 535-6401
Mailing address
200 BECKER DR, ROANOKE RAPIDS, NC 27870-3134
(252) 535-6400
(252) 535-6401
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/11/2010
Last updated
06/01/2023
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