# OUTREACH HOME \#1

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063638328
- **Authorized official:** MRS. JOY N. OKEKE RN (ADMINISTRATOR)
- **Authorized official phone:** (919) 641-0162

## Contact information

- **Practice address:** 2826 S ROXBORO ST, DURHAM, NC 27707-4039
- **Practice address phone:** (919) 401-8352
- **Mailing address:** 305 SHALIMAR DR, DURHAM, NC 27713-7571
- **Mailing address phone:** (919) 544-1033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | MHL032299 | NC | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/22/2020