Organization
SKYYWELL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BRASWELL (DIRECTOR)
(252) 484-8260
Entity
Organization
Contact information
Practice address
1033 HAZELMIST DR, WAKE FOREST, NC 27587-9254
(984) 292-4515
Mailing address
6330 FALLS OF NEUSE RD STE 106B, RALEIGH, NC 27615-6810
(984) 292-4515
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
01/06/2023
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