Organization
GREAT EXPECTATIONS MENTAL HEALTH SERVICES, INC.
Active
Other names
Great Expectations Residential Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY CHARLES PACKER (OWNER/ PRESIDENT)
(910) 860-3325
Entity
Organization
Contact information
Practice address
1416 DARBY DR, RAEFORD, NC 28376-8462
(910) 860-3325
(910) 860-3345
Mailing address
2151 SKIBO RD, SUITE 100, FAYETTEVILLE, NC 28314-0252
(910) 860-3325
(910) 860-3345
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL047062
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604172
—
NC
Enumeration date
10/05/2007
Last updated
10/05/2007
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