Peace of Mind Residential and Community Services Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL078129 Issued in NC

Legal business name

PEACE OF MIND RESIDENTIAL AND COMMUNITY SERVICES INC

Practice address

809 W 3Rd St
Pembroke, NC 28372-7173

Phone

(910) 521-0588

Fax

(910) 521-2267

NPI assigned

Jan 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles K. Robbins

Title

Executive Director

Phone

(910) 628-0039

Specialties & licenses 3

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1730236274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283400235",
            "telephone_number": "910-734-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727173",
            "telephone_number": "910-521-0588",
            "fax_number": "910-521-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND RESIDENTIAL AND COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-628-0039",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL078129",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409520",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmer Prevention, Inc.
• Gabrielle Jena Palmer, LCSW
• Danielle Renee Parker Locklear
• Utpal K Patel, MD
• Peace of Mind Heal Care Services, Inc.
• Pembroke Center for Wellness, Inc
• Pembroke Center for Wellness, Inc
• Pembroke Drug Center
• Pembroke Drug Center, Inc.
• Pembroke Drug Center, Inc.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.