Organization
PATH 2 A NEW LIFE INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE P MORROW (CEO)
(910) 551-2718
Entity
Organization
Contact information
Practice address
5315 PARKTON RD, HOPE MILLS, NC 28348
(910) 551-2718
Mailing address
2208 TWINFLOWER CT, FAYETTEVILLE, NC 28314
(910) 551-2718
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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