Great Expectations Residential Services, Inc.

LBN: Great Expectations Mental Health Services, Inc.
Great Expectations Residential Services, Inc. is an health care organization with primary practice located at 6611 Carloway Dr , Fayetteville NC 28304-2768. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Great Expectations Mental Health Services, Inc. can be contacted via phone (910) 860-3325, or through Packer, Anthony Charles via phone (910) 860-3325.

Contact Information

Primary practice address
6611 Carloway Dr Fayetteville NC 28304-2768
Fax: (910) 860-3345
Website:
Authorized official contact:
Name: Packer, Anthony Charles

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL026838 North Carolina

Profile Details

NPI number 1285821082
LBN Legal business name Great Expectations Mental Health Services, Inc.
DBA Doing business as Great Expectations Residential Services, Inc.
Authorized official Packer, Anthony Charles
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2007
Last updated Sep 26th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285821082 NPPES
North Carolina MEDICAID 6603429

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