institution
Break Out Llc
Mental Illness Community Based Residential Treatment Facility in Durham, North Carolina
NPI 1730377789

Break Out Llc is a Mental Illness Community Based Residential Treatment Facility based in Bahama, NC. Break Out Llc practices in Durham, NC. The NPI Number for Break Out Llc is 1730377789 and holds a License No. 032414 (North Carolina).

The current practice location address for Break Out Llc is 412 Pineland Ave, Durham, NC and can be reached out via phone at 919-220-2181.

Location: 412 Pineland Ave, Durham, NC, 27503-9615
institution
Provider Profile Details
NPI Number
1730377789
Provider Name
Break Out Llc
Credential
Provider Entity Type
Organization
Address
412 Pineland Ave, Durham, NC, 27503-9615
Phone Number
919-220-2181
Fax Number
Provider Enumeration Date
10/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
412 Pineland Ave
City
State
Zip
27704-2911
Phone Number
919-220-2181
Fax Number
person
Provider Business Mailing Address Details
Address
412 Pineland Ave
City
State
Zip
27704-2911
Phone Number
919-220-2181
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
032414 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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