Organization
LIFES JOURNEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SUMMERS BS (OWNER)
19192646246
Entity
Organization
Contact information
Practice address
3605 EASTERN BRANCH RD, RALEIGH, NC 27610-5668
(191) 926-4624
Mailing address
3605 EASTERN BRANCH RD, RALEIGH, NC 27610-5668
(191) 926-4624
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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