| Organization Name: | KOPPER TOP LIFE LEARNING CENTER, INC. |
| NPI Number: | 1043458383 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH ELLEN MERIDITH (EXECUTIVE DIRECTOR/REC. THERAPIST) |
| Mailing Address: | 6657 Kimesville Rd Liberty |
| State: | NC US |
| Postal Code: | 272989108 |
| Phone Number: | 3365659723 |
| Fax Number: | 3365650644 |
| NPI Enumeration Date: | 01/23/2009 |
| NPI Last Update Date: | 01/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | 196 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |