Organization · Type 2 NPI

Great Expectations Mental Health Services, Inc.

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Raeford, NC

NPI number 1497942221 Active

Practice location

574 Carriage Ln
Raeford, NC 28376-6384

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
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	MHL-047-106 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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NPI record

NPI: 1497942221
Entity type: Organization (Type 2)
Issued: Sep 25, 2007
Last updated: Sep 25, 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

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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 1497942221

Great Expectations Mental Health Services, Inc.'s National Provider Identifier is 1497942221, issued on Sep 25, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Raeford, NC. The record was last updated on Sep 25, 2007.