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Organization
POWERHOUSE RESIDENTIAL TREATMENT FACILITY, LLC
Active
Organization
POWERHOUSE RESIDENTIAL TREATMENT FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKELIA HOLLINGSWORTH-ROPER (CHIEF EXECUTIVE OFFICER/FOUNDER)
(910) 828-7900
Entity
Organization
Contact information
Practice address
5075 MORGANTON RD STE 10, FAYETTEVILLE, NC 28314-1542
(910) 828-7900
(910) 851-2615
Mailing address
5075 MORGANTON RD STE 10, FAYETTEVILLE, NC 28314-1542
(910) 878-7900
(910) 851-2615
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
10/02/2024
Last updated
12/09/2024
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