# GREATER IMAGE HEALTHCARE CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1417385816
- **Authorized official:** RODNEY L JOHNSON (CEO)
- **Authorized official phone:** (910) 321-0069

## Contact information

- **Practice address:** 114 GREENHOUSE LN, SOUTHERN PINES, NC 28387-3140
- **Practice address phone:** (910) 246-2272
- **Mailing address:** 401 ROBESON ST, FAYETTEVILLE, NC 28301-5635
- **Mailing address phone:** (910) 321-0069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-063-104 | NC | Yes |

## Other

- **Enumeration date:** 10/22/2013
- **Last updated:** 05/11/2017