# THE ROSSBERRY HOME OF FAIRMONT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Straight Ahead Community Support
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851501001
- **Authorized official:** MRS. GLORIA J. ROSS RN (DIRECTOR)
- **Authorized official phone:** (704) 933-3314

## Contact information

- **Practice address:** 429 PERSON ST, FAYETTEVILLE, NC 28301-5737
- **Practice address phone:** (910) 483-8841
- **Practice address fax:** (910) 483-9198
- **Mailing address:** 950 LANE ST, KANNAPOLIS, NC 28083-3748
- **Mailing address phone:** (704) 933-3314
- **Mailing address fax:** (704) 933-3320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020