NPI 1003049685

Lyfes New Direction

Organisation Community/Behavioral Health Agency Winston Salem, NC

Practice location

Address: 1001 S Marshall St # 65, Winston Salem, NC 27101-5852
Phone: (336) 721-4261
Fax: (336) 721-4265

Authorised official

Name: Judith a Bagley
Title: Organizer
Phone: (336) 721-4261

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence C2009212000082 (NC)

Other Community/Behavioral Health providers in North Carolina →

Registry record

NPI: 1003049685
Entity type: Organization
NPI issued: 28 Aug 2009
Record last updated: 28 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.