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Dianne Gibson

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fayetteville, NC. Individual provider (NPI-1).

NPI number1194875658
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1194875658
Entity type
Individual (NPI-1)
Name
Mrs. Dianne Gibson
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 10, 2007
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

2901 Bakers Mill Rd
Fayetteville, NC 28306-8273

Phone 910-423-8816 · Fax 910-423-8816

Mailing address

2901 Bakers Mill Rd
2901 Bakers Mill Rd
Fayetteville, NC 28306-8273

Phone 910-423-8816 · Fax 910-423-8816

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Fayetteville, NC

All 17 Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Fayetteville · All 9,765 providers in Fayetteville

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