Organization
HARMONY HOUSE OF MOORE COUNTY
Active
Organization
HARMONY HOUSE OF MOORE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMANDA BLAIR FAULK LCMHC-QS, LCAS, NCC (OWNER/DIRECTOR)
(910) 691-5159
Entity
Organization
Contact information
Practice address
1180 W MASSACHUSETTS AVE, SOUTHERN PINES, NC 28387-4620
(910) 691-5159
Mailing address
590 W DENNY AVE, PINEBLUFF, NC 28373-8337
(910) 691-5159
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801134614
OWNER'S NPI
NC
Enumeration date
11/22/2023
Last updated
02/22/2024
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