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Pelham Supportive Services
Mental Illness Community Based Residential Treatment Facility in Fayetteville, North Carolina
NPI 1710144738

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 1710144738 and holds a License No. MHL-026-824 (North Carolina).

The current practice location address for Pelham Supportive Services is 4906 Redwood Dr, Fayetteville, NC and can be reached out via phone at 910-826-2990.

Location: 4906 Redwood Dr, Fayetteville, NC, 28301-2907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710144738
Provider Name
Pelham Supportive Services
Credential
Provider Entity Type
Organization
Address
4906 Redwood Dr, Fayetteville, NC, 28301-2907
Phone Number
910-826-2990
Fax Number
Provider Enumeration Date
05/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4906 Redwood Dr
City
Fayetteville
State
North Carolina
Zip
28304-4213
Phone Number
910-826-2990
Fax Number
person
Provider Business Mailing Address Details
Address
4906 Redwood Dr
City
Fayetteville
State
North Carolina
Zip
28304-4213
Phone Number
910-826-2990
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL-026-824 (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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