D.Gibson & Associate LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fayetteville, NC. Organization (NPI-2).
Details
- NPI
- 1366570285
- Entity type
- Organization (NPI-2)
- Legal business name
- D.Gibson & Associate LLC
- Organization subpart
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | NC | Yes |
Practice location
2901 Bakers Mill RdFayetteville, NC 28306-8273
Phone 910-423-8816 · Fax 910-423-8816
Mailing address
2901 Bakers Mill RdFayetteville, NC 28306-8273
Phone 910-423-8816 · Fax 910-423-8816
Authorized official
Dianne Gibson
Owner
9104238816
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