Transitional Life, Llc | |
4202 Painted Trillium Ct Matthews NC 28105-0120 | |
(704) 904-1770 | |
Not Available |
Full Name | Transitional Life, Llc |
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Speciality | Community/behavioral Health |
Location | 4202 Painted Trillium Ct, Matthews, North Carolina |
Authorized Official Name and Position | Nicole Denise Gomez (CEO) |
Authorized Official Contact | 7049041770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Transitional Life, Llc 4202 Painted Trillium Ct Matthews NC 28105-0120 Ph: () - | Transitional Life, Llc 4202 Painted Trillium Ct Matthews NC 28105-0120 Ph: (704) 904-1770 |
NPI Number | 1417301045 |
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Provider Enumeration Date | 04/20/2016 |
Last Update Date | 04/20/2016 |
Identifier | Type | State | Issuer |
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1417301045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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