Organization · Type 2 NPI

Residential Support Services

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Raleigh, NC

NPI number 1396177549 Active

Practice location

3416 Atlantic Ave
Raleigh, NC 27604-1643

Call (919) 787-1214 Map

Fax (919) 787-3416

Mailing address

PO Box 98476
Raleigh, NC 27624-8476

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XMHL-092-474 (NC)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1396177549

Residential Support Services's National Provider Identifier is 1396177549, issued on Jul 30, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Raleigh, NC. The record was last updated on Jul 30, 2013.