MYROVER-REESE FELLOWSHIP HOMES INC. NPI 1275637852

NPI Information

NPI: 1275637852
Provider Name: MYROVER-REESE FELLOWSHIP HOMES INC.
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 34D2080773

Address:
560 WILKES RD
FAYETTEVILLE, NC
ZIP 28306
Phone: (910) 486-8718
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MYROVER-REESE FELLOWSHIP HOMES INC. is an addiction (substance use disorder) counselor in Fayetteville, NC. MYROVER-REESE FELLOWSHIP HOMES INC. NPI is 1275637852. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

560 WILKES RD
FAYETTEVILLE, NC
ZIP 28306-038
Phone: (910) 486-8718
Fax: (910) 486-5976

The provider's authorized official is William F Frye .
The authorized official title is General Manager and has the following contact phone number (910) 486-8718.

The CLIA number assigned to this NPI record is 34D2080773 - other - supervised living with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MHL026005	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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