Organization
COLORS OF LIFE COMMUNITY DEVELOPMENT
Active
Other names
Colors of Life Community Development
Organization subpart
No
Provider details
NPI number
Authorized official
LEON BURDEN (CEO)
(910) 736-2135
Entity
Organization
Contact information
Practice address
704 WREN ST, LUMBERTON, NC 28358-4162
(910) 736-2135
Mailing address
PO BOX 1941, LUMBERTON, NC 28359-1941
(910) 736-2135
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NC
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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