Organization · Type 2 NPI

Powerhouse Residential Treatment Facility, LLC

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

NPI number 1659199040 Active

Practice location

5075 Morganton Rd Ste 10
Fayetteville, NC 28314-1542

Call (910) 828-7900 Map

Fax (910) 851-2615

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed

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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About NPI 1659199040

Powerhouse Residential Treatment Facility, LLC's National Provider Identifier is 1659199040, issued on Oct 2, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Fayetteville, NC. The record was last updated on Dec 9, 2024.