NPI 1720776156

Creating Independence LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Gibsonville, NC

Practice location

Address: 317 Wood St, Gibsonville, NC 27249-2552
Phone: (475) 471-1400
Mailing address: 1710 E Franklin St, Chapel Hill, NC 27514-5851

Authorised official

Name: Mercedes Harris
Title: Owner
Phone: (919) 240-8658

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1720776156
Entity type: Organization
NPI issued: 25 Apr 2023
Record last updated: 25 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.