# PEACE OF MIND RESIDENTIAL AND COMMUNITY SERVICES INC

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

## Provider details

- **NPI number:** 1730236274
- **Authorized official:** MR. CHARLES K. ROBBINS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (910) 628-0039

## Contact information

- **Practice address:** 809 W 3RD ST, PEMBROKE, NC 28372-7173
- **Practice address phone:** (910) 521-0588
- **Practice address fax:** (910) 521-2267
- **Mailing address:** PO BOX 235, FAIRMONT, NC 28340-0235
- **Mailing address phone:** (910) 734-1697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL078129 | NC | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NC | — |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 01/10/2008