Organization
ELITE CARE AND MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RIVETTE N COLE MSW (CEO)
(910) 758-3488
Entity
Organization
Contact information
Practice address
111 LAMON ST STE 100, FAYETTEVILLE, NC 28301-4917
(910) 483-0324
Mailing address
2132 YELLOWBRICK RD, FAYETTEVILLE, NC 28314-8536
(910) 758-3488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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