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 1760544712

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 2006.

Licensed in
NC
In the registry since
2006

Practice location Address checks out

1712 Shiloh Dr
Fayetteville, NC 28304-4027
Phone: (910) 423-2800
Fax: (910) 423-2800
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 number1760544712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mildred Wilson — Owner · (910) 630-6757
Other names Pelham Group Home #1
NPI enumeratedDecember 15, 2006
Last updated in NPPESJuly 10, 2013
Mailing address949 Country Club Dr, Fayetteville, NC 28301-2907

Other providers in Fayetteville