Community Life Management Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

COMMUNITY LIFE MANAGEMENT INC

Practice address

107 Kela Dr
Morganton, NC 28655-9076

Phone

(828) 221-0699

NPI assigned

Feb 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Christopher Dula

Title

Owner Director

Phone

(828) 221-0699

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Community Life Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Community Life Management

  • Community/Behavioral Health Agency
  • Morganton, NC
  • NPI 1508994807
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245367754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286800134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 KELA DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286559076",
            "telephone_number": "828-221-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIFE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DULA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "828-221-0699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604009",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kathleen Collier, LCMHC
• Christopher A Collins, PHARM.D
• Joshua Michael Collins, MA,LCAS
• Community Family Healthcare, PLLC
• Community Life Management
• Compassionate Psychiatry, PLLC
• Comprehensive Pain Consultants of the Carolinas PLLC
• Comserv, Inc.
• Comserv, Inc.
• Comserv, Inc.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Morganton, NC
• Providers in Morganton, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.