Organization
UPLIFT COMPREHENSIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TAYLOR (CFO/CO-OWNER)
(919) 662-9918
Entity
Organization
Contact information
Practice address
114 AVERY ST, GREENVILLE, NC 27858-1237
(252) 794-3834
Mailing address
PO BOX 31, GARNER, NC 27529-0031
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-074-137
NC
Other
Enumeration date
10/19/2006
Last updated
09/04/2008
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