Organization
RISING KINGS YOUTH HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE MALIK DANIELS (DIRECTOR)
(252) 373-2631
Entity
Organization
Contact information
Practice address
907 SHEARIN ST, ROCKY MOUNT, NC 27801-5852
(252) 373-2631
Mailing address
907 SHEARIN ST, ROCKY MOUNT, NC 27801-5852
(252) 373-2631
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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