| NPI | 1316359961 |
|---|---|
| Doing Business As | ESSENTIAL LIFE CONNECTIONS |
| Entity Type | Organization |
| Authorized Contact | LATRINA D WINFORD Clinical Director 336-896-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-034-265) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |