NPI | 1235127572 |
---|---|
Doing Business As | LIFE QUEST |
Entity Type | Organization |
Authorized Contact | SANDRA BUNCH WALTON Owner/Provider 252-758-4554 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 0229130-37) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2020-08-22 |