Organization
NEW LIFE TRANSITIONS 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LEA TRENT WATERS AAS (CEO)
(252) 412-3296
Entity
Organization
Contact information
Practice address
103 WESTWOOD DR, GREENVILLE, NC 27834
(252) 412-3296
Mailing address
3919 STERLING POINTE DRIVE, UNIT NN8, WINTERVILLE, NC 28590
(252) 412-3296
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
03/13/2024
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