Envisions of Life, LLC
NPI #1972700763 in Goldsboro, North Carolina
Provider Information
- NPI Number
- 1972700763
- Entity Type
- Organization
- Organization Name
- Envisions of Life, LLC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jun 27, 2007
- Last Updated
- Jul 26, 2011
Practice Location
- Address
- 420 GULLEY ST
- City
- Goldsboro
- State
- North Carolina
- ZIP Code
- 27530-5045
- Phone
- (336) 887-0708
Authorized Official
- Name
- MRS. TOMEKO MICHELLE MOORE
- Title
- PRESIDENT
- Phone
- (336) 887-0708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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