Organization · Type 2 NPI

Concordia Support Services, LLC

Community/Behavioral Health Agency · Fayetteville, NC

NPI number 1417045188 Active

Practice location

2315 Bloom Avenue, Suite 2
Fayetteville, NC 28304-6165

Call (910) 826-8253 Map

Fax (910) 826-8254

Mailing address

PO Box 26108
Fayetteville, NC 28314-5018

Specialties and licenses

TaxonomyCodeLicense
Developmentally Disabled Services Day Training Agency 251C00000XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XMHL-067-156 (NC)
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XMHL-067154 (NC)
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XMHL-047-070 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1417045188

Concordia Support Services, LLC's National Provider Identifier is 1417045188, issued on Oct 10, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Fayetteville, NC. The record was last updated on Jun 25, 2009.