Great Expectations Mental Health Services, Inc. in Fayetteville - Community Based Residential Treatment Facility, Mental Illness
Great Expectations Mental Health Services, Inc. - NPI 1790972594
Great Expectations Mental Health Services, Inc. is a Community Based Residential Treatment Facility, Mental Illness in Fayetteville, North Carolina. Great Expectations Mental Health Services, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Great Expectations Mental Health Services, Inc. is 1790972594. The last update date is 2007-09-26.
Great Expectations Mental Health Services, Inc.'s current location address is 2151 Skibo Rd, Fayetteville, North Carolina. You can contact this provider via phone number 9108603325 and fax number 9108603345. The mailing address for Great Expectations Mental Health Services, Inc. is 2151 Skibo Rd, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Great Expectations Mental Health Services, Inc. |
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Address | 2151 Skibo Rd, Fayetteville, North Carolina |
Phone Number | 9108603325 |
Fax Number | 9108603345 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/PRES |
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Authorized Official Name | Packer Charles Anthony |
Telephone Number | 9108603325 |
NPI Number Detail
NPI Number | 1790972594 |
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Provider Enumeration Date | 2007-09-26 |
Last Updated Date | 2007-09-26 |
Provider Mailing Address Detail
Address | 2151 Skibo Rd |
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City | Fayetteville |
State | North Carolina (NC) |
Post Code | 283140252 |
Phone Number | 9108603325 |
Fax Number | 9108603345 |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Mental Illness |
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Taxonomy | 320800000X |
Licence No | MHL026756 |
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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6603654 | NC | -- |
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What is the unique 10-digit identification code issued to Great Expectations Mental Health Services, Inc. by the Centers for Medicare & Medicaid Services?
The Great Expectations Mental Health Services, Inc. has been assigned the NPI (National Provider Identifier) 1790972594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Great Expectations Mental Health Services, Inc. is located?
The Great Expectations Mental Health Services, Inc. is situated at the following address: 2151 Skibo Rd, Fayetteville, NC, 283140252.
What is the Great Expectations Mental Health Services, Inc.'s specialty and taxonomy code?
The Great Expectations Mental Health Services, Inc.'s specialty is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code is 320800000X.
On what date did the Great Expectations Mental Health Services, Inc. receive the assignment of its 1790972594 from the Centers for Medicare & Medicaid Services?
The Great Expectations Mental Health Services, Inc. was issued its 1790972594 by the Centers for Medicare & Medicaid Services on 2007-09-26.
As of what date were the Great Expectations Mental Health Services, Inc.'s details last updated?
The information pertaining to the Great Expectations Mental Health Services, Inc., including its address, specialty, and other details, was most recently updated on 2007-09-26.