Organization · Type 2 NPI

Potterhouse Sanctuary Liberation

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

NPI number 1487701868 Active

Practice location

2805 Auburn Knightdale Rd
Raleigh, NC 27610-9712

Call (919) 217-9119 Map

Fax (919) 217-9118

Mailing address

7344 Berkshire Downs Dr
Raleigh, NC 27616-5636

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	MHL029640 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1487701868

Potterhouse Sanctuary Liberation's National Provider Identifier is 1487701868, issued on Jan 5, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Raleigh, NC. The record was last updated on Jun 12, 2009.