Pelham Supportive Services
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 2013.
- Licensed in
- NC
- In the registry since
- 2013
Practice location Address checks out
5740 Longview DrFayetteville, NC 28306-8567
Phone: (910) 425-4168
Fax: (910) 488-8823
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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-026-854 (NC) |
|---|
Record details
| NPI number | 1770924482 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mildred Wilson — Director · (910) 488-7633 |
| Other names | Pelham Group Home #3 |
| NPI enumerated | July 10, 2013 |
| Last updated in NPPES | July 11, 2013 |
| Mailing address | 949 Country Club Dr, Fayetteville, NC 28301-2907 |
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