Organization
A POSITIVE LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER L YOUNG (CEO)
(910) 977-5066
Entity
Organization
Contact information
Practice address
3108 DYKE ST, FAYETTEVILLE, NC 28306-2809
(910) 223-7300
(910) 323-3206
Mailing address
3108 DYKE ST, FAYETTEVILLE, NC 28306-2809
(910) 223-7300
(910) 323-3206
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-026742
NC
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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