# MYOVERREESE FELLOWSHIP HOMES INC

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

## Provider details

- **NPI number:** 1558622969
- **Authorized official:** MS. TERRI ROSE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (910) 779-1306

## Contact information

- **Practice address:** 560 WILKES RD, FAYETTEVILLE, NC 28306-3038
- **Practice address phone:** (910) 779-1306
- **Practice address fax:** (910) 486-5976
- **Mailing address:** 560 WILKES RD, FAYETTEVILLE, NC 28306-3038
- **Mailing address phone:** (910) 779-1306
- **Mailing address fax:** (910) 486-5976

## Taxonomy

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

## Other

- **Enumeration date:** 06/01/2012
- **Last updated:** 06/01/2012