OrganizationActive
A Positive Life
NPI 1326186578 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fayetteville, NC
Provider details
- NPI number
- 1326186578
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Walter Young, Director
- License
- MHL026742 (NC)
Practice location
6033 Concho Ct
Fayetteville, NC 28303-2509
Phone: (910) 480-2555
Fax: (910) 323-3206
Mailing address
351 Wagoner Dr
Fayetteville, NC 28303-4608
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2007-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.