Organization
GOOD FRUIT OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANDRA SALLEY MSW (DIRECTOR)
(743) 261-2480
Entity
Organization
Contact information
Practice address
110 CUDE ST, FAYETTEVILLE, NC 28306-2902
(743) 261-2480
Mailing address
110 CUDE ST, FAYETTEVILLE, NC 28306-2902
(743) 261-2480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
06/22/2026
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