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Organization
OUTREACH RESIDENTIAL SERVICES
Active
Organization
OUTREACH RESIDENTIAL SERVICES
Active
Other names
OUTREACH RESIDENTIAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ALEXANDER FREEMAN (OWNER)
(910) 423-1855
Entity
Organization
Contact information
Practice address
3520 MAXWELL RD, AUTRYVILLE, NC 28318-8785
(910) 423-1855
Mailing address
5304 HUB JOHNSON RD, HOPE MILLS, NC 28348-7820
(910) 423-1855
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-082-069
NC
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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