Great Expectations Mental Health Services, INC.
Community Based Residential Treatment Facility, Mental Illness in Fayetteville, NC. Organization (NPI-2).
NPI number1285821082
StatusActive
Last updated in NPPESSep 26, 2007
Details
- NPI
- 1285821082
- Entity type
- Organization (NPI-2)
- Legal business name
- Great Expectations Mental Health Services, INC.
- Organization subpart
- No
- Enumeration date
- Sep 26, 2007
- Last updated
- Sep 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL026838 | NC | Yes |
Other names
- Great Expectations Residential Services, INC. (Former Legal Business Name)
Practice location
6611 Carloway DrFayetteville, NC 28304-2768
Phone 910-860-3325 · Fax 910-860-3345
Mailing address
2151 Skibo RdSuite 100
Fayetteville, NC 28314-0252
Phone 910-860-3325 · Fax 910-860-3345
Authorized official
Anthony Charles Packer
Owner/ President
9108603325
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