Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pelham Supportive Services

Mental Illness Community Based Residential Treatment Facility in Fayetteville, NC · enumerated 2013 · authorized official Mildred Wilson, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770924482

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Registry record

Entity type Organization (Type 2)

Legal business name Pelham Supportive Services

Other name <Unavail>

Practice address 5740 Longview Dr, Fayetteville, NC, 28306

Phone (910) 425-4168

Fax (910) 488-8823

Enumeration date Jul 10, 2013

Last updated in NPPES Jul 11, 2013

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities · License MHL-026-854 (NC) Primary

Authorized official

Name Mildred Wilson

Title Director

Phone (910) 488-7633

Other identifiers

Identifier	Type	State	Issuer
7806041	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Pelham Supportive Services located?

The practice location on file with NPPES is in Fayetteville, NC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-07-11. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Macbill,Inc. Mental Illness Community Based Residential Treatment Facility · Fayetteville, NC NPI 1689062473

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-11.