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Prosperous Living Adolescent Center, Inc
Mental Illness Community Based Residential Treatment Facility in Raleigh, North Carolina
NPI 1295971844

Prosperous Living Adolescent Center, Inc is a Mental Illness Community Based Residential Treatment Facility based in Raleigh, NC. Prosperous Living Adolescent Center, Inc practices in Raleigh, NC. The NPI Number for Prosperous Living Adolescent Center, Inc is 1295971844 and holds a License No. (North Carolina).

The current practice location address for Prosperous Living Adolescent Center, Inc is 3412 Lake Woodard Dr, Raleigh, NC and can be reached out via phone at 919-231-0025.

Location: 3412 Lake Woodard Dr, Raleigh, NC, 27604-3854
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295971844
Provider Name
Prosperous Living Adolescent Center, Inc
Credential
Provider Entity Type
Organization
Address
3412 Lake Woodard Dr, Raleigh, NC, 27604-3854
Phone Number
919-231-0025
Fax Number
Provider Enumeration Date
01/04/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3412 Lake Woodard Dr
City
Raleigh
State
North Carolina
Zip
27604-3854
Phone Number
919-231-0025
Fax Number
person
Provider Business Mailing Address Details
Address
3412 Lake Woodard Dr
City
Raleigh
State
North Carolina
Zip
27604-3854
Phone Number
919-231-0025
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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