Organization
SISU LIVING HOUSE
Active
Other names
Her Sisu LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JUANYETTA BEASLEY DHA, RN (EXECUTIVE DIRECTOR)
(919) 637-6865
Entity
Organization
Contact information
Practice address
1420 SPRINGSHIRE CT, RALEIGH, NC 27610-2561
(984) 381-6313
Mailing address
8041 BRIER CREEK PKWY # 1083, RALEIGH, NC 27617-7596
(919) 637-6865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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