NPI 1154719946

Macbill INC.

Organisation Mental Illness Community Based Residential Treatment Facility Fayetteville, NC

Practice location

Address: 2226 Memory St, Fayetteville, NC 28304-5827
Phone: (252) 526-7781
Fax: (919) 882-0916
Mailing address: PO Box 1444, Kinston, NC 28503-1444

Authorised official

Name: Tamaria McCollum
Title: Owner
Phone: (252) 526-7781

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence MHL-026-956 (NC)

Other Community Based Residential Treatment Facility, Mental Illness providers in North Carolina →

Registry record

NPI: 1154719946
Entity type: Organization
NPI issued: 31 Dec 2014
Record last updated: 31 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.