Organization
PELHAM SUPPORTIVE SERVICES
Active
Organization
PELHAM SUPPORTIVE SERVICES
Active
Other names
PELHAM GROUP HOME #2
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED WILSON (DIRECTOR)
(910) 630-6757
Entity
Organization
Contact information
Practice address
4906 REDWOOD DR, FAYETTEVILLE, NC 28304-4213
(910) 826-2990
Mailing address
949 COUNTRY CLUB DR, FAYETTEVILLE, NC 28301-2907
(910) 630-6757
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-026-824
NC
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up