institution
College Lakes
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fayetteville, North Carolina
NPI 1841612215

College Lakes is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Fayetteville, NC. College Lakes practices in Fayetteville, NC. The NPI Number for College Lakes is 1841612215 and holds a License No. MHL-047-133 (North Carolina).

The current practice location address for College Lakes is 5104 Flatrock Drive, Fayetteville, NC and can be reached out via phone at 910-488-6323 and via fax at 910-223-2180.

Location: 5104 Flatrock Drive, Fayetteville, NC, 28311
institution
Provider Profile Details
NPI Number
1841612215
Provider Name
College Lakes
Credential
Provider Entity Type
Organization
Address
5104 Flatrock Drive, Fayetteville, NC, 28311
Phone Number
910-488-6323
Fax Number
910-223-2180
Provider Enumeration Date
01/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3418071 05 NC
institution
Provider Business Practice Location Address Details
Address
5104 Flatrock Drive
City
State
Zip
28311
Phone Number
910-488-6323
Fax Number
910-223-2180
person
Provider Business Mailing Address Details
Address
5104 Flatrock Drive
City
State
Zip
28311
Phone Number
910-488-6323
Fax Number
910-223-2180
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL-047-133 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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