Organization
LIFE FLOW YOUTH & FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUNSHURAE L BURRIS (OWNER)
(704) 454-8027
Entity
Organization
Contact information
Practice address
11300 WALLAND LN, CHARLOTTE, NC 28273-4596
(704) 454-8027
Mailing address
11300 WALLAND LANE, CHARLOTTE, NC 28273
(704) 454-8027
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NC
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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