Organization
MARIUS MAXIMUS FOUNDATION FOR MENTAL HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILANA SHEPPARD NCCPSS (EXECUTIVE DIRECTOR)
(910) 518-9192
Entity
Organization
Contact information
Practice address
128 S KING ST, FAYETTEVILLE, NC 28301-5970
(910) 518-9192
Mailing address
5288 EASON RD, WADE, NC 28395-8990
(910) 496-6854
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
07/02/2025
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