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NPI 1871735233 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Raeford, NC
Provider details
- NPI number
- 1871735233
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tiffany Monroe, Ceo(910) 273-5473
- License
- MHL-047-112 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL-047-112 (NC)
Residential Treatment Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
3999 Fayetteville Rd
Raeford, NC 28376-8059
Phone: (910) 273-5473
Fax: (919) 498-0874
Street-level locationGet directions
Mailing address
7735 S Shield Dr
Fayetteville, NC 28314-6352
Registry dates
- Enumerated
- 2009-04-01
- Last updated
- 2009-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.