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Pelham Supportive Services
Mental Illness Community Based Residential Treatment Facility in Fayetteville, North Carolina
NPI 1770924482

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 1770924482 and holds a License No. MHL-026-854 (North Carolina).

The current practice location address for Pelham Supportive Services is 5740 Longview Dr, Fayetteville, NC and can be reached out via phone at 910-425-4168 and via fax at 910-488-8823.

Location: 5740 Longview Dr, Fayetteville, NC, 28301-2907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770924482
Provider Name
Pelham Supportive Services
Credential
Provider Entity Type
Organization
Address
5740 Longview Dr, Fayetteville, NC, 28301-2907
Phone Number
910-425-4168
Fax Number
910-488-8823
Provider Enumeration Date
07/10/2013
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
7806041 05 NC
institution
Provider Business Practice Location Address Details
Address
5740 Longview Dr
City
Fayetteville
State
North Carolina
Zip
28306-8567
Phone Number
910-425-4168
Fax Number
910-488-8823
person
Provider Business Mailing Address Details
Address
5740 Longview Dr
City
Fayetteville
State
North Carolina
Zip
28306-8567
Phone Number
910-425-4168
Fax Number
910-488-8823
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL-026-854 (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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