| NPI | 1205199213 |
|---|---|
| Doing Business As | LIFEWAY |
| Entity Type | Organization |
| Authorized Contact | ANTHONYH FOTI SKLAVOUNAKIS Executive Director 704-807-6129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-023-181) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |