PROSPEROUS LIVING ADOLESCENT CENTER, INC

RALEIGH, NC
NPI1295971844
Entity TypeOrganization
Authorized ContactMILDRED M BROWN
Program Director
919-361-0208
Organization Subpart ?No
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2009-01-04
Last Update Date2016-12-30
Business Address
PROSPEROUS LIVING ADOLESCENT CENTER, INC
3412 LAKE WOODARD DR
RALEIGH, NC 27604-3854
Phone number: 919-231-0025
Mailing Address
PROSPEROUS LIVING ADOLESCENT CENTER, INC
3412 LAKE WOODARD DR
RALEIGH, NC 27604-3854
Phone number: 919-231-0025