# MYROVER-REESE FELLOWSHIP HOMES INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275637852
- **Authorized official:** MR. WILLIAM F FRYE SR. (GENERAL MANAGER)
- **Authorized official phone:** (910) 486-8718

## Contact information

- **Practice address:** 560 WILKES RD, FAYETTEVILLE, NC 28306-3038
- **Practice address phone:** (910) 486-8718
- **Practice address fax:** (910) 486-5976
- **Mailing address:** PO BOX 64933, FAYETTEVILLE, NC 28306-0933
- **Mailing address phone:** (910) 486-8718
- **Mailing address fax:** (910) 486-5976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | MHL026005 | NC | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 08/22/2020