Organization · Type 2 NPI

Pelham Supportive Services

Community/Behavioral Health Agency · St. Pauls, NC

NPI number 1649558933 Active

Practice location

315 A West Broad Street
St. Pauls, NC 28384-1535

Call (910) 865-3358 Map

Fax (910) 865-3358

Mailing address

949 Country Club Dr
Fayetteville, NC 28301-2907

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	MNL-078-284 (NC)

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 1649558933

Pelham Supportive Services's National Provider Identifier is 1649558933, issued on Aug 3, 2011. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in St. Pauls, NC. The record was last updated on Aug 3, 2011.