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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
2151 SKIBO RD, SUITE 100, FAYETTEVILLE, NC 28314-0237
(910) 860-3325
(910) 860-3345
Mailing address
PO BOX 40353, 2151 SKIBO RD STE 100, FAYETTEVILLE, NC 28314-0237
(910) 860-3325
(910) 860-3345

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1017
NC
101YP2500X
Professional Counselor
4660
NC
101YP2500X
Professional Counselor
5158
NC
103T00000X
Psychologist
1837
NC
103T00000X
Psychologist
2513
NC
251B00000X
Case Management Agency
8300907
NC
251S00000X
Community/Behavioral Health Agency
Primary
8300907
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
6603654
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
6604172
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
6603429
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
6603429
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
6603654
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6603429
NC
05
6603654
NC
05
6604172
NC
05
8300907B
NC
05
8300907G
NC
05
8300907H
NC
Enumeration date
12/13/2006
Last updated
10/05/2007
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