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Good Fruit Outreach
Children's Substance Abuse Rehabilitation Facility in Mooresville, North Carolina
NPI 1730766981

Good Fruit Outreach is a Children's Substance Abuse Rehabilitation Facility based in Mooresville, NC and is specialized in Substance Abuse Treatment, Children. Good Fruit Outreach practices in Mooresville, NC. The NPI Number for Good Fruit Outreach is 1730766981 and holds a License No. (North Carolina).

The current practice location address for Good Fruit Outreach is 421 Parker Ave Ste A, Mooresville, NC and can be reached out via phone at 704-230-7046.

Location: 421 Parker Ave Ste A, Mooresville, NC, 28115-4900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730766981
Provider Name
Good Fruit Outreach
Credential
Provider Entity Type
Organization
Address
421 Parker Ave Ste A, Mooresville, NC, 28115-4900
Phone Number
704-230-7046
Fax Number
Provider Enumeration Date
03/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
421 Parker Ave Ste A
City
Mooresville
State
North Carolina
Zip
28115-3418
Phone Number
704-230-7046
Fax Number
person
Provider Business Mailing Address Details
Address
421 Parker Ave Ste A
City
Mooresville
State
North Carolina
Zip
28115-3418
Phone Number
704-230-7046
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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