Organization · Type 2 NPI

Potter's House Outreach Corporation

Community/Behavioral Health Agency · Fayetteville, NC

NPI number 1457682452 Active

Practice location

603 Country Club Drive
Fayetteville, NC 28301-7686

Fax (910) 904-6791

Mailing address

P.o. Box 26073
Fayetteville, NC 28314-5017

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone 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 1457682452

Potter's House Outreach Corporation's National Provider Identifier is 1457682452, issued on Jan 15, 2010. 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 Jan 15, 2010.