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Pelham Supportive Services
Mental Illness Community Based Residential Treatment Facility in Fayetteville, North Carolina
NPI 1053626135

Pelham Supportive Services is a Mental Illness Community Based Residential Treatment Facility based in Fayetteville, NC. Pelham Supportive Services practices in Fayetteville, NC. The NPI Number for Pelham Supportive Services is 1053626135 and holds a License No. MHL-2620 (North Carolina).

The current practice location address for Pelham Supportive Services is 2226 Memory St, Fayetteville, NC and can be reached out via phone at 910-429-0081 and via fax at 910-884-9806.

Location: 2226 Memory St, Fayetteville, NC, 28301-2907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053626135
Provider Name
Pelham Supportive Services
Credential
Provider Entity Type
Organization
Address
2226 Memory St, Fayetteville, NC, 28301-2907
Phone Number
910-429-0081
Fax Number
910-884-9806
Provider Enumeration Date
08/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2226 Memory St
City
Fayetteville
State
North Carolina
Zip
28304-5827
Phone Number
910-429-0081
Fax Number
910-884-9806
person
Provider Business Mailing Address Details
Address
2226 Memory St
City
Fayetteville
State
North Carolina
Zip
28304-5827
Phone Number
910-429-0081
Fax Number
910-884-9806
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL-2620 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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