Individual provider · Type 1 NPI
Lisa Braswell
Mental Illness Community Based Residential Treatment Facility · Wake Forest, NC
NPI number
1467165928
Active
Practice location
1033 Hazelmist Dr
Wake Forest, NC 27587-9254
Mailing address
6330 Falls Of Neuse Rd Ste 106B
Raleigh, NC 27615-6810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | None listed |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None 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.
Another provider at this address
About NPI 1467165928
Lisa Braswell's National Provider Identifier is 1467165928, issued on Dec 29, 2022. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Wake Forest, NC. The record was last updated on Dec 30, 2022.