| Powerhouse Residential Treatment Facility, Llc | |
|
5075 Morganton Rd Ste 10 Fayetteville NC 28314-1542 | |
| (562) 599-9641 | |
| Not Available |
| Full Name | Powerhouse Residential Treatment Facility, Llc |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 5075 Morganton Rd Ste 10, Fayetteville, North Carolina |
| Authorized Official Name and Position | Akelia Hollingsworth-roper (CHIEF EXECUTIVE OFFICER/FOUNDER) |
| Authorized Official Contact | 9108287900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powerhouse Residential Treatment Facility, Llc 921 Johnson St Raeford NC 28376-2012 Ph: () - | Powerhouse Residential Treatment Facility, Llc 5075 Morganton Rd Ste 10 Fayetteville NC 28314-1542 Ph: (562) 599-9641 |
| NPI Number | 1659199040 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 11/03/2024 |
| Certification Date | 11/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659199040 | NPI | - | NPPES |
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