Lamp On a Stand Life Center LLC

NPI #1114400272 in Elkin, North Carolina

Provider Information

NPI Number: 1114400272
Entity Type: Organization
Organization Name: Lamp On a Stand Life Center LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 13, 2018
Last Updated: Sep 13, 2018

Practice Location

Address: 130 HILL ST
City: Elkin
State: North Carolina
ZIP Code: 28621-2416
Phone: (336) 423-6140

Authorized Official

Name: WILLIAM ANTHONY BURCHETTE
Title: OWNER
Phone: (336) 423-6140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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