Organization · Type 2 NPI

Great Expectations Mental Health Services, Inc.

Mental Illness Community Based Residential Treatment Facility · Fayetteville, NC

NPI number 1285821082 Active

Practice location

6611 Carloway Dr
Fayetteville, NC 28304-2768

Call (910) 860-3325 Map

Fax (910) 860-3345

Mailing address

2151 Skibo Rd, Suite 100
Fayetteville, NC 28314-0252

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	MHL026838 (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.

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NPI record

NPI: 1285821082
Entity type: Organization (Type 2)
Issued: Sep 26, 2007
Last updated: Sep 26, 2007
Status: Active

Other names

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Great Expectations Residential Services, Inc. · former legal business name

Authorized official

Mr. Anthony Charles Packer
Owner/ President
(910) 860-3325

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285821082

Great Expectations Mental Health Services, Inc.'s National Provider Identifier is 1285821082, issued on Sep 26, 2007. 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 Sep 26, 2007.