Organization
UPLIFT COMPREHENSIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TAYLOR (FINANCE OFFICER/OWNER)
(919) 662-9918
Entity
Organization
Contact information
Practice address
312 STERLINGWORTH STREET, WINDSOR, NC 27983
(252) 794-3834
Mailing address
P.O. BOX 31, GARNER, NC 27529-2752
(919) 662-9918
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-008-025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603665
—
NC
Enumeration date
10/02/2006
Last updated
08/22/2020
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