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Pelham Supportive Services
Mental Illness Community Based Residential Treatment Facility in Fayetteville, North Carolina
NPI 1225339054

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 1225339054 and holds a License No. MHL-026-823 (North Carolina).

The current practice location address for Pelham Supportive Services is 949 Country Club Dr, Fayetteville, NC and can be reached out via phone at 910-630-6757 and via fax at 910-884-9806.

Location: 949 Country Club Dr, Fayetteville, NC, 28301-2907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225339054
Provider Name
Pelham Supportive Services
Credential
Provider Entity Type
Organization
Address
949 Country Club Dr, Fayetteville, NC, 28301-2907
Phone Number
910-630-6757
Fax Number
910-884-9806
Provider Enumeration Date
11/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
949 Country Club Dr
City
Fayetteville
State
North Carolina
Zip
28301-2907
Phone Number
910-630-6757
Fax Number
910-884-9806
person
Provider Business Mailing Address Details
Address
949 Country Club Dr
City
Fayetteville
State
North Carolina
Zip
28301-2907
Phone Number
910-630-6757
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-026-823 (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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