NPI 1144402926

Lifecycles of Alamance/Caswell INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Burlington, NC

Practice location

Address: 1865 N Nc Highway 62, Burlington, NC 27217-8327
Phone: (336) 222-9896
Fax: (336) 229-2385
Mailing address: 532 Fernway Dr, Burlington, NC 27217-8850

Authorised official

Name: Tamera B. Wilson
Title: Owner/Administrator
Phone: (336) 213-0975

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-001-144 (NC)

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

Registry record

NPI: 1144402926
Entity type: Organization
NPI issued: 3 Dec 2007
Record last updated: 3 Dec 2007

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.