Individual provider · Type 1 NPI
Dianne Gibson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fayetteville, NC
Practice location
2901 Bakers Mill Rd
Fayetteville, NC 28306-8273
Fax (910) 423-8816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Fayetteville
About NPI 1194875658
Dianne Gibson's National Provider Identifier is 1194875658, issued on Jan 10, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 9, 2007.