| Organization Name: | BRANDI NICHOLE FAMILY ENRICHMENT CENTER |
| NPI Number: | 1194054601 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN M COWAN (PRESIDENT) |
| Mailing Address: | 3400 Sweeten Creek Rd Ste C Arden |
| State: | NC US |
| Postal Code: | 287042508 |
| Phone Number: | 8286873776 |
| Fax Number: | 8286874467 |
| NPI Enumeration Date: | 12/11/2009 |
| NPI Last Update Date: | 04/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385HR2055X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | Respite Care, Mental Illness, Child |
| Taxonomy Definition: | A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |