| NPI | 1548322175 |
|---|---|
| Former Legal Business Name | GREAT EXPECTATIONS RESIDENTIAL SERVICES INC |
| Entity Type | Organization |
| Authorized Contact | ANTHONY CHARLES PACKER Owner President 910-860-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 8300907) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 1017) |
| 101YP2500X Counselor Professional (Licence: NC 4660) | |
| 101YP2500X Counselor Professional (Licence: NC 5158) | |
| 103T00000X Psychologist (Licence: NC 1837) | |
| 103T00000X Psychologist (Licence: NC 2513) | |
| 251B00000X Case Management (Licence: NC 8300907) | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC 6603654) | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC 6604172) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC 6603429) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 6603654) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 6603429) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-10-05 |