# POWERHOUSE RESIDENTIAL TREATMENT FACILITY, LLC

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

## Provider details

- **NPI number:** 1659199040
- **Authorized official:** AKELIA HOLLINGSWORTH-ROPER (CHIEF EXECUTIVE OFFICER/FOUNDER)
- **Authorized official phone:** (910) 828-7900

## Contact information

- **Practice address:** 5075 MORGANTON RD STE 10, FAYETTEVILLE, NC 28314-1542
- **Practice address phone:** (910) 828-7900
- **Practice address fax:** (910) 851-2615
- **Mailing address:** 5075 MORGANTON RD STE 10, FAYETTEVILLE, NC 28314-1542
- **Mailing address phone:** (910) 878-7900
- **Mailing address fax:** (910) 851-2615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 10/02/2024
- **Last updated:** 12/09/2024