OrganizationActive
Therapeutic Behavioral Healthcare Services
NPI 1104158047 · Developmentally Disabled Services Day Training Agency · Fairmont, NC
Provider details
- NPI number
- 1104158047
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Willie Spruill, Ceo(910) 628-5655
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
302 N Main St
Fairmont, NC 28340-1730
Phone: (910) 628-0556
Street-level locationGet directions
Mailing address
Po Box 1664
Fairmont, NC 28340-1103
Registry dates
- Enumerated
- 2010-02-03
- Last updated
- 2010-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.