| NPI | 1912020637 |
|---|---|
| Former Legal Business Name | LIFE SKILLS INDEPENDENT CARE |
| Entity Type | Organization |
| Authorized Contact | RENE WHITEHEAD Owner/Directo 919-803-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-092-795) |
| Additional Taxonomies | 251S00000X |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-07-03 |