Lisa Braswell
NPI #1467165928 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1467165928
- Entity Type
- Individual
- Name
- Lisa Braswell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Dec 29, 2022
- Last Updated
- Dec 30, 2022
Practice Location
- Address
- 1033 HAZELMIST DR
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-9254
- Phone
- (984) 292-4515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
| Community Based Residential Treatment Facility, Mental Illness |
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