Organization
LIFE FOUNDATIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY LAWRENCE WHITTED (PRESIDENT)
(919) 358-0342
Entity
Organization
Contact information
Practice address
2314 S MIAMI BLVD STE 156, DURHAM, NC 27703-5796
(919) 544-3333
(919) 544-3338
Mailing address
2314 S MIAMI BLVD STE 156, DURHAM, NC 27703-5796
(919) 544-3333
(919) 544-3338
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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