Organization
SUNLIGHT BEHAVIOR CENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHAD RAHMAAN (DIRECTOR)
(910) 864-2443
Entity
Organization
Contact information
Practice address
2030 HOKE LOOP RD, FAYETTEVILLE, NC 28314-6495
(910) 864-2443
(910) 864-2804
Mailing address
2030 HOKE LOOP RD, FAYETTEVILLE, NC 28314-6495
(910) 864-2443
(910) 864-2804
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL 026-777
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301471
—
NC
Enumeration date
12/07/2007
Last updated
12/07/2007
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