OrganizationActive
Break Out LLC
NPI 1730377789 · Mental Illness Community Based Residential Treatment Facility · Durham, NC
Provider details
- NPI number
- 1730377789
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Darnella Warthen, Owner/Executive Director(919) 477-4785
- License
- 032414 (NC)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
412 Pineland Ave
Durham, NC 27704-2911
Phone: (919) 220-2181
Street-level locationGet directions
Mailing address
406 Mare Ct
Bahama, NC 27503-9615
Registry dates
- Enumerated
- 2007-10-03
- Last updated
- 2007-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.