Organization
LIVING WITH AUTISUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH ELLIS (CEO)
(919) 917-7681
Entity
Organization
Contact information
Practice address
2817 TOBERMORY LN, RALEIGH, NC 27606-4443
(919) 917-7681
Mailing address
2817 TOBERMORY LN, RALEIGH, NC 27606-4443
(919) 917-7681
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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