OrganizationActive
Good Fruit Outreach
NPI 1730766981 · Children's Substance Abuse Rehabilitation Facility · Mooresville, NC
Provider details
- NPI number
- 1730766981
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Leandra Salley, Director(704) 792-5221
Specialties & taxonomies
Residential Treatment Facilities
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
421 Parker Ave Ste a
Mooresville, NC 28115-3418
Phone: (704) 230-7046
Approximate (ZIP-level) locationGet directions
Mailing address
123 Institute St # Unite493
Mooresville, NC 28115-4900
Registry dates
- Enumerated
- 2021-03-25
- Last updated
- 2021-03-25
- Certified
- 2021-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.