| NPI | 1780882100 |
|---|---|
| Doing Business As | LIFE TURN COMMUNITY SUPPORT |
| Entity Type | Organization |
| Authorized Contact | JENNERINE MICKLE WALLACE Owner Executive Director 336-342-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2010-02-01 |