Organization
A BROADER FUTURE, INC
Active
Other names
Creative community Options
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA BROADNAX (EXECUTIVE DIRECTOR)
(910) 286-7873
Entity
Organization
Contact information
Practice address
3444 BRAGG BLVD, FAYETTEVILLE, NC 28303-3946
(910) 322-3001
Mailing address
882 SOUTHVIEW CIR, FAYETTEVILLE, NC 28311-0318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2016-3437-01
NC
251V00000X
Voluntary or Charitable Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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