Organization
VISIONS RESIDENTIAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE R. HASAN M.ED., QMHP (DIRECTOR/OWNER)
(910) 624-6513
Entity
Organization
Contact information
Practice address
549 STACY WEAVER DR, FAYETTEVILLE, NC 28311-0859
(910) 482-4453
(910) 482-3571
Mailing address
PO BOX 9729, FAYETTEVILLE, NC 28311-9091
(910) 482-4453
(910) 482-3571
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL 063-061
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300349B
—
NC
Enumeration date
01/28/2008
Last updated
01/28/2008
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