Organization · Type 2 NPI

Pelham Supportive Services

Mental Illness Community Based Residential Treatment Facility · Fayetteville, NC

NPI number 1710144738 Active

Practice location

4906 Redwood Dr
Fayetteville, NC 28304-4213

Call (910) 826-2990 Map

Mailing address

949 Country Club Dr
Fayetteville, NC 28301-2907

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XMHL-026-824 (NC)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1710144738

Pelham Supportive Services's National Provider Identifier is 1710144738, issued on May 19, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Fayetteville, NC. The record was last updated on May 19, 2008.