# OUTREACH RESIDENTIAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OUTREACH RESIDENTIAL SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437330560
- **Authorized official:** MR. RICHARD ALEXANDER FREEMAN (OWNER)
- **Authorized official phone:** (910) 423-1855

## Contact information

- **Practice address:** 3520 MAXWELL RD, AUTRYVILLE, NC 28318-8785
- **Practice address phone:** (910) 423-1855
- **Mailing address:** 5304 HUB JOHNSON RD, HOPE MILLS, NC 28348-7820
- **Mailing address phone:** (910) 423-1855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-082-069 | NC | Yes |

## Other

- **Enumeration date:** 11/16/2007
- **Last updated:** 11/16/2007