| NPI | 1528896982 |
|---|---|
| Doing Business As | LA3 L.L.C RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANDERSON Owner/Operator 919-395-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |