# POTTERHOUSE SANCTUARY LIBERATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487701868
- **Authorized official:** MS. ROSA L MOORE (PRESIDENT)
- **Authorized official phone:** (973) 223-4511

## Contact information

- **Practice address:** 2805 AUBURN KNIGHTDALE RD, RALEIGH, NC 27610-9712
- **Practice address phone:** (919) 217-9119
- **Practice address fax:** (919) 217-9118
- **Mailing address:** 7344 BERKSHIRE DOWNS DR, RALEIGH, NC 27616-5636
- **Mailing address phone:** (919) 217-9119
- **Mailing address fax:** (919) 217-9118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL029640 | NC | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 06/12/2009