Organization
LIVE YOUR DREAMS EVERYDAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LYDE MED (PRESIDENT)
(704) 450-0215
Entity
Organization
Contact information
Practice address
1002 KISER BLVD, GREENEVILLE, TN 37745-1556
(704) 450-0215
Mailing address
PO BOX 161, GREENEVILLE, TN 37744-0161
(704) 450-0215
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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