Organization
GREEN HOUSE PROJECT CDC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COSTELLA GREEN (PRESIDENT)
(910) 676-0362
Entity
Organization
Contact information
Practice address
228 IRENE ST, FAYETTEVILLE, NC 28301-4787
(910) 676-0362
Mailing address
PO BOX 1566, FAYETTEVILLE, NC 28302-1566
(910) 676-0362
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
385H00000X
Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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