institution
Potterhouse Sanctuary Liberation
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Raleigh, North Carolina
NPI 1487701868

Potterhouse Sanctuary Liberation is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Raleigh, NC. Potterhouse Sanctuary Liberation practices in Raleigh, NC. The NPI Number for Potterhouse Sanctuary Liberation is 1487701868 and holds a License No. MHL029640 (North Carolina).

The current practice location address for Potterhouse Sanctuary Liberation is 2805 Auburn Knightdale Rd, Raleigh, NC and can be reached out via phone at 919-217-9119 and via fax at 919-217-9118.

Location: 2805 Auburn Knightdale Rd, Raleigh, NC, 27616-5636
institution
Provider Profile Details
NPI Number
1487701868
Provider Name
Potterhouse Sanctuary Liberation
Credential
Provider Entity Type
Organization
Address
2805 Auburn Knightdale Rd, Raleigh, NC, 27616-5636
Phone Number
919-217-9119
Fax Number
919-217-9118
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2805 Auburn Knightdale Rd
City
State
Zip
27610-9712
Phone Number
919-217-9119
Fax Number
919-217-9118
person
Provider Business Mailing Address Details
Address
2805 Auburn Knightdale Rd
City
State
Zip
27610-9712
Phone Number
919-217-9119
Fax Number
919-217-9118
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL029640 (North Carolina)
Definition
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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