Organization
PEACE OF MIND RESIDENTIAL AND COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES K. ROBBINS (EXECUTIVE DIRECTOR)
(910) 628-0039
Entity
Organization
Contact information
Practice address
809 W 3RD ST, PEMBROKE, NC 28372-7173
(910) 521-0588
(910) 521-2267
Mailing address
PO BOX 235, FAIRMONT, NC 28340-0235
(910) 734-1697
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL078129
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409520
—
NC
Enumeration date
01/05/2007
Last updated
01/10/2008
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