Organization
LIVING WELL BEHAVIORAL HEALTH, INC.
Active
Parent organization
LIVING WELL BEHAVIORAL HEALTH, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVING WELL BEHAVIORAL HEALTH, INC.
Authorized official
PATRICIA DELEURAN (PRESIDENT)
(910) 565-2322
Entity
Organization
Contact information
Practice address
2350 BENTRIDGE LN, SUITE 300, FAYETTEVILLE, NC 28304-0590
(910) 565-2322
(910) 479-1401
Mailing address
2350 BENTRIDGE LN, SUITE 300, FAYETTEVILLE, NC 28304-0590
(910) 565-2322
(910) 479-1401
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950272
—
NC
Enumeration date
08/01/2016
Last updated
08/01/2016
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