Envisions of Life LLC
NPI #1386195840 in Jonesville, North Carolina
Provider Information
- NPI Number
- 1386195840
- Entity Type
- Organization
- Organization Name
- Envisions of Life LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Oct 20, 2016
- Last Updated
- Sep 1, 2017
Practice Location
- Address
- 449 W MAIN ST
- City
- Jonesville
- State
- North Carolina
- ZIP Code
- 28642-2130
- Phone
- (336) 887-0708
Authorized Official
- Name
- MRS. TOMEKO M MOORE, LCAS, LCSWA
- Title
- PRESIDENT
- Phone
- (336) 887-0708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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