| Success For Life Inc | |
|
4627 N Sharon Amity Rd Charlotte NC 28205-4676 | |
| (704) 299-1263 | |
| Not Available |
| Full Name | Success For Life Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4627 N Sharon Amity Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Pervis Nash (CEO) |
| Authorized Official Contact | 7042991263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Success For Life Inc 4627 N Sharon Amity Rd Charlotte NC 28205-4676 Ph: () - | Success For Life Inc 4627 N Sharon Amity Rd Charlotte NC 28205-4676 Ph: (704) 299-1263 |
| NPI Number | 1881108512 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 11/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881108512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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