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Lisa Braswell
Mental Illness Community Based Residential Treatment Facility in Wake Forest, North Carolina
NPI 1467165928

Lisa Braswell is a Mental Illness Community Based Residential Treatment Facility based in Raleigh, NC. Lisa Braswell practices in Wake Forest, NC. The NPI Number for Lisa Braswell is 1467165928 and holds a License No. (North Carolina).

The current practice location address for Lisa Braswell is 1033 Hazelmist Dr, Wake Forest, NC and can be reached out via phone at 984-292-4515.

Location: 1033 Hazelmist Dr, Wake Forest, NC, 27615-6810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467165928
Provider Name
Lisa Braswell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1033 Hazelmist Dr, Wake Forest, NC, 27615-6810
Phone Number
984-292-4515
Fax Number
Provider Enumeration Date
12/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1033 Hazelmist Dr
City
Wake Forest
State
North Carolina
Zip
27587-9254
Phone Number
984-292-4515
Fax Number
person
Provider Business Mailing Address Details
Address
1033 Hazelmist Dr
City
Wake Forest
State
North Carolina
Zip
27587-9254
Phone Number
984-292-4515
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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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