Organization · Type 2 NPI

Prosperous Living Adolescent Center, Inc

Mental Illness Community Based Residential Treatment Facility · Raleigh, NC

NPI number 1295971844 Active

Practice location

3412 Lake Woodard Dr
Raleigh, NC 27604-3854

Call (919) 231-0025 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1295971844

Prosperous Living Adolescent Center, Inc's National Provider Identifier is 1295971844, issued on Jan 4, 2009. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Raleigh, NC. The record was last updated on Dec 30, 2016.