Healthcare Provider Details

I. General information

NPI: 1902628027
Provider Name (Legal Business Name): LIVE THE RIGHT WAY FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 ADOLPHUS AVE APT 903
CLIFFSIDE PARK NJ
07010-2891
US

IV. Provider business mailing address

15 TRIEBLE AVE STE 5
BALLSTON SPA NY
12020-6027
US

V. Phone/Fax

Practice location:
  • Phone: 833-671-9527
  • Fax:
Mailing address:
  • Phone: 833-671-9527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSHUA WALI SYKES
Title or Position: CEO
Credential:
Phone: 305-954-0173