Lyfes New Direction
NPI #1003049685 in Winston Salem, North Carolina
Provider Information
- NPI Number
- 1003049685
- Entity Type
- Organization
- Organization Name
- Lyfes New Direction
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 28, 2009
- Last Updated
- Aug 28, 2009
Practice Location
- Address
- 1001 S MARSHALL ST # 65
- City
- Winston Salem
- State
- North Carolina
- ZIP Code
- 27101-5852
- Phone
- (336) 721-4261
Authorized Official
- Name
- MS. JUDITH A BAGLEY
- Title
- ORGANIZER
- Phone
- (336) 721-4261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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