Organization
LIFE SPRINGS RESTORATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CONRAD (COMPLIANCE OFFICER)
(919) 341-0524
Entity
Organization
Contact information
Practice address
154 MCIVER ST, SANFORD, NC 27330-4305
(919) 341-0524
Mailing address
154 MCIVER ST, SANFORD, NC 27330-4305
(919) 341-0524
(919) 292-0191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2025
Last updated
05/09/2026
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