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Organization
STRATFORD OUTREACH,INC.
Active
Organization
STRATFORD OUTREACH,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMEKA MACHAE DAVIS CLINICAL DIRECTOR (PRESIDENT)
(910) 264-5045
Entity
Organization
Contact information
Practice address
3329 WRIGHTSVILLE AVE STE K, WILMINGTON, NC 28403-4101
(910) 264-5045
(910) 799-5747
Mailing address
PO BOX 12221, DURHAM, NC 27709-2221
(910) 264-5045
(718) 649-8725
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301746
—
NC
Enumeration date
03/04/2007
Last updated
01/22/2008
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