Organization · Type 2 NPI

Pelham Supportive Services

Mental Illness Community Based Residential Treatment Facility · Fayetteville, NC

NPI number 1225339054 Active

Practice location

949 Country Club Dr
Fayetteville, NC 28301-2907

Fax (910) 884-9806

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	MHL-026-823 (NC)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

2 other providers at this address

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About NPI 1225339054

Pelham Supportive Services's National Provider Identifier is 1225339054, issued on Nov 10, 2010. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Fayetteville, NC. The record was last updated on Nov 10, 2010.