PROSPEROUS LIVING ADOLESCENT CENTER, INC
NPI 1295971844
Community Based Residential Treatment Facility, Mental Illness in Raleigh, NC

Active since January 04, 2009
3412 LAKE WOODARD DR, RALEIGH, NC 27604(919) 231-0025 Get Directions Write a Review

NPPES record last updated: December 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prosperous Living Adolescent Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSPEROUS LIVING ADOLESCENT CENTER, INC (NPI 1295971844) is a healthcare organization registered as a community based residential treatment facility, mental illness in Raleigh, North Carolina and active in the NPI registry since January 2009. The organization lists Mildred M Brown, Program Director, as its authorized official.

NPPES Registry Identity

NPI1295971844
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NamePROSPEROUS LIVING ADOLESCENT CENTER, INC
Location Address3412 LAKE WOODARD DRRaleigh, NC 27604-3854
Mailing Address3412 Lake Woodard DrRaleigh, NC 27604-3854 · (919) 231-0025
Organization SubpartNo
Authorized OfficialMildred M BrownProgram Director · (919) 361-0208
Enumeration DateJanuary 4, 2009
Last NPPES UpdateDecember 30, 2016
NPI 1295971844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3412 LAKE WOODARD DR, Raleigh, NC 27604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prosperous Living Adolescent Center, Inc's NPI number?

The NPI number for Prosperous Living Adolescent Center, Inc is 1295971844. It was assigned to this organization in the NPPES registry on January 4, 2009.

Where is Prosperous Living Adolescent Center, Inc located?

Prosperous Living Adolescent Center, Inc is located at 3412 Lake Woodard Dr, Raleigh, NC 27604. The listed phone number is (919) 231-0025.

What is Prosperous Living Adolescent Center, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Prosperous Living Adolescent Center, Inc was last updated on December 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.