Organization · Type 2 NPI

Wendy K. Bradsher Fuller dba Falcon Crest Residential Care

Mental Illness Community Based Residential Treatment Facility · Burlington, NC

NPI number 1306284195 Active

Practice location

723 N Fisher St
Burlington, NC 27217-2517

Fax (336) 226-2474

Mailing address

1101 S Fifth St, PO Box 1670
Mebane, NC 27302-9182

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XMHL-001-141 (NC)
Mental Illness Community Based Residential Treatment Facility Primary 320800000XMHL-001-141 (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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About NPI 1306284195

Wendy K. Bradsher Fuller dba Falcon Crest Residential Care's National Provider Identifier is 1306284195, issued on Jun 13, 2013. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Burlington, NC. The record was last updated on Sep 28, 2026.