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NPI Profile for BREANNA ADULTCHILDREN LEARNING CNTR CHEMICAL DEPENDENCYLLC in RALEIGH, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X | |||
Early Intervention Provider Agency |
252Y00000X | |||
Local Education Agency (LEA) |
251300000X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1144551607 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/23/2010 | |
| Last updated | 01/23/2010 - About 16 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BREANNA ADULT/CHILDREN LEARNING CNTR. CHEMICAL DEPENDENCYLLC
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BREANNA ADULT/CHILDREN LEARNING CNTR. CHEMICAL DEPENDENCYLLC