Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pelham Supportive Services

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1225339054

Pelham Supportive Services is a Mental Illness Community Based Residential Treatment Facility in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.

Licensed in
NC
In the registry since
2010

Practice location Address checks out

949 Country Club Dr
Fayetteville, NC 28301-2907
Phone: (910) 630-6757
Fax: (910) 884-9806
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence MHL-026-823 (NC)

Record details

NPI number1225339054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mildred Wilson — Director · (910) 630-6757
NPI enumeratedNovember 10, 2010
Last updated in NPPESNovember 10, 2010
Mailing address949 Country Club Dr, Fayetteville, NC 28301-2907

Other providers in Fayetteville