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Organization
POTTER'S HOUSE OUTREACH CORPORATION
Active
Organization
POTTER'S HOUSE OUTREACH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT ROBINSON (CEO)
(910) 904-5791
Entity
Organization
Contact information
Practice address
603 COUNTRY CLUB DRIVE, FAYETTEVILLE, NC 28301-7686
(910) 904-5791
(910) 904-6791
Mailing address
P.O. BOX 26073, FAYETTEVILLE, NC 28314-5017
(910) 904-5791
(910) 904-6791
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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