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Organization
NC OUTREACH GROUP HOMES, LLC
Active
Organization
NC OUTREACH GROUP HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY V BURLESON (CEO)
(828) 442-4020
Entity
Organization
Contact information
Practice address
252 NC 126, NEBO, NC 28761-2876
(828) 559-9940
(828) 738-1526
Mailing address
PO BOX 249, NEBO, NC 28761-0021
(828) 652-7613
(828) 527-0789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805640
—
NC
Enumeration date
12/11/2006
Last updated
12/21/2020
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