Organization · Type 2 NPI

Pelham Supportive Services

Mental Illness Community Based Residential Treatment Facility · Fayetteville, NC

NPI number 1770924482 Active

Practice location

5740 Longview Dr
Fayetteville, NC 28306-8567

Call (910) 425-4168 Map

Fax (910) 488-8823

Mailing address

949 Country Club Dr
Fayetteville, NC 28301-2907

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XMHL-026-854 (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 1770924482

Pelham Supportive Services's National Provider Identifier is 1770924482, issued on Jul 10, 2013. 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 Jul 11, 2013.