| Myrover-reese Fellowship Homes Inc. | |
|
560 Wilkes Rd Fayetteville NC 28306-3038 | |
| (910) 486-8718 | |
| (910) 486-5976 |
| Full Name | Myrover-reese Fellowship Homes Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 560 Wilkes Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | William F Frye (GENERAL MANAGER) |
| Authorized Official Contact | 9104868718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myrover-reese Fellowship Homes Inc. Po Box 64933 Fayetteville NC 28306-0933 Ph: (910) 486-8718 | Myrover-reese Fellowship Homes Inc. 560 Wilkes Rd Fayetteville NC 28306-3038 Ph: (910) 486-8718 |
| NPI Number | 1275637852 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275637852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | MHL026005 (North Carolina) | Primary |
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