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Mr. Derrick Cornelius Fullwood
Community/Behavioral Health Agency in Clinton, North Carolina
NPI 1154656338

Derrick Cornelius Fullwood is a Community/Behavioral Health Agency based in Raleigh, NC. Derrick Cornelius Fullwood practices in Clinton, NC. The NPI Number for Derrick Cornelius Fullwood is 1154656338 and holds a License No. (North Carolina).

The current practice location address for Derrick Cornelius Fullwood is 4442 Bonnetsville Rd, Clinton, NC and can be reached out via phone at 919-673-6332.

Location: 4442 Bonnetsville Rd, Clinton, NC, 27604-3469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154656338
Provider Name
Derrick Cornelius Fullwood
Credential
Provider Entity Type
Individual
Gender
Male
Address
4442 Bonnetsville Rd, Clinton, NC, 27604-3469
Phone Number
919-673-6332
Fax Number
Provider Enumeration Date
10/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4442 Bonnetsville Rd
City
Clinton
State
North Carolina
Zip
28328-1001
Phone Number
919-673-6332
Fax Number
person
Provider Business Mailing Address Details
Address
4442 Bonnetsville Rd
City
Clinton
State
North Carolina
Zip
28328-1001
Phone Number
919-673-6332
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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