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

Pelham Supportive Services

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1710144738

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 2008.

Licensed in
NC
In the registry since
2008
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Practice location Address checks out

4906 Redwood Dr
Fayetteville, NC 28304-4213
Phone: (910) 826-2990
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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-026-824 (NC)

Record details

NPI number1710144738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mildred Wilson — Director · (910) 630-6757
Other names Pelham Group Home #2
NPI enumeratedMay 19, 2008
Last updated in NPPESMay 19, 2008
Mailing address949 Country Club Dr, Fayetteville, NC 28301-2907

Other providers in Fayetteville