BREAK OUT LLC
Residential Treatment Facilities at Pineland Ave, Durham, NC

License number
North Carolina 032414
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
Owner
Name: DARNELLA LORRAINE WARTHEN
Title: OWNER/EXECUTIVE DIRECTOR
Phone: (919) 477-4785
Address
Address 2
412 Pineland Ave, Durham, NC 27704
406 Mare Ct, Bahama, NC 27503
National Provider ID: 1730377789
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BREAK OUT LLC at bizstanding.com

Break Out, LLC

412 Pineland Ave, Durham, NC 27704

Industry:
Business Services at Non-Commercial Site, Residential Care Services
Executive Director, Owner, Principal:
Darnella L. Warthen (Executive Director, Owner, Principal)

Break Out, LLC

406 Mare Ct, Bahama, NC 27503

Status:
Inactive
Industry:
Residential Care Services
Phone:
(919) 477-4785 (Phone)
Member:
Darnella Warthen Member, inactive

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