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GOOD FRUIT OUTREACH NPI 1730766981


NPI Information

NPI: 1730766981
Provider Name: GOOD FRUIT OUTREACH
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
421 PARKER AVE STE A
MOORESVILLE, NC
ZIP 28115
Phone: (704) 230-7046
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GOOD FRUIT OUTREACH is a substance abuse treatment and children substance abuse rehabilitation facility in Mooresville, NC. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. GOOD FRUIT OUTREACH NPI is 1730766981. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

421 PARKER AVE STE A
MOORESVILLE, NC
ZIP 28115-418
Phone: (704) 230-7046

The provider's authorized official is Leandra Salley .
The authorized official title is Director and has the following contact phone number (704) 792-5221.

The enumeration date for this NPI number is 3/25/2021 and was last updated on 3/25/2021.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
33245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

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: 5/5/2024

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