Organization
LIFE SUPPORT OF THE PIEDMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSLYNN YVETTE DICKEY (EXECUTIVE DIRECTOR)
(336) 420-0188
Entity
Organization
Contact information
Practice address
175 NORTHPOINT AVE, SUITE #111- B, HIGH POINT, NC 27262-7737
(336) 420-0188
Mailing address
PO BOX 6657, HIGH POINT, NC 27262-6657
(336) 420-0188
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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