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A Broader Future, INC

Community/Behavioral Health in Fayetteville, NC. Organization (NPI-2).

NPI number1235676248
StatusActive
Last updated in NPPESJan 27, 2017

Details

NPI
1235676248
Entity type
Organization (NPI-2)
Legal business name
A Broader Future, INC
Organization subpart
No
Enumeration date
Jan 27, 2017
Last updated
Jan 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health2016-3437-01NCYes
251V00000X Voluntary or Charitable––
347C00000X Private Vehicle––

Other names

  • Creative Community Options (Doing Business As)

Practice location

3444 Bragg Blvd
Fayetteville, NC 28303-3946

Phone 910-322-3001

Mailing address

882 Southview Cir
Fayetteville, NC 28311-0318

Authorized official

Andrea Broadnax
Executive Director
9102867873

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