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

Spirit of Excellence Community Outreach, Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1508291683

Spirit of Excellence Community Outreach, Inc is a Mental Illness Community Based Residential Treatment Facility in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.

Licensed in
NC
In the registry since
2013
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

510 Crissy Dr
Jacksonville, NC 28540-9183
Phone: (910) 219-0459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence MHL-067-157 (NC)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X (NC)

Record details

NPI number1508291683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Hines — Office Manager · (910) 265-0304
Other names Guardian Care
NPI enumeratedSeptember 9, 2013
Last updated in NPPESSeptember 10, 2013
Mailing addressPo Box 752, Jacksonville, NC 28541-0752

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