Organization
LA3 L.L.C
Active
Other names
LA3 L.L.C Residential
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CYNTHIA ANDERSON (OWNER/OPERATOR)
(919) 395-0043
Entity
Organization
Contact information
Practice address
708 GLENBROOK DR, RALEIGH, NC 27610-3516
(919) 395-0043
Mailing address
3701 HIGHGATE DR APT I, DURHAM, NC 27713-9124
(919) 395-0043
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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