Organization · Type 2 NPI

Our Fathers Place Inc

Mental Illness Community Based Residential Treatment Facility · Statesville, NC

NPI number 1275637423 Active

Practice location

256 East Broad Street
Statesville, NC 28677

Call (704) 872-0313 Map

Fax (704) 872-7787

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000XNone listed

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.

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About NPI 1275637423

Our Fathers Place Inc's National Provider Identifier is 1275637423, issued on Sep 9, 2006. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Statesville, NC. The record was last updated on Sep 11, 2025.