NPI 1033342258

A Positive Life INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Fayetteville, NC

Practice location

Address: 3108 Dyke St, Fayetteville, NC 28306-2809
Phone: (910) 223-7300
Fax: (910) 323-3206

Authorised official

Name: Walter Lee Young
Title: Director/Owner
Phone: (910) 223-7300

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-026742 (NC)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in North Carolina →

Registry record

NPI: 1033342258
Entity type: Organization
NPI issued: 4 Sep 2009
Record last updated: 4 Sep 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.