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Organization
GREAT EXPECTATIONS MENTAL HEALTH SERVICES, INC.
Active
Organization
GREAT EXPECTATIONS MENTAL HEALTH SERVICES, INC.
Active
Other names
Great Expectations Residential Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY CHARLES PACKER (OWNER/ PRESIDENT)
(910) 860-3325
Entity
Organization
Contact information
Practice address
1416 DARBY DR, RAEFORD, NC 28376-8462
(910) 860-3325
(910) 860-3345
Mailing address
2151 SKIBO RD, SUITE 100, FAYETTEVILLE, NC 28314-0252
(910) 860-3325
(910) 860-3345
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL047062
NC
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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