Destiny 360 Residential Services. LLC
NPI #1346073442 in Raeford, North Carolina
Provider Information
- NPI Number
- 1346073442
- Entity Type
- Organization
- Organization Name
- Destiny 360 Residential Services. LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Aug 23, 2024
- Last Updated
- Sep 4, 2024
Practice Location
- Address
- 1811 SILVER CITY ST
- City
- Raeford
- State
- North Carolina
- ZIP Code
- 28376-8605
- Phone
- (919) 479-1505
Authorized Official
- Name
- CHRISTOPHER MONROE
- Title
- PRESIDENT
- Phone
- (336) 210-2304
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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