# OUTREACH HOME \# 2

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

## Provider details

- **NPI number:** 1750507026
- **Authorized official:** MRS. JOY N. OKEKE RN (ADMINISTRATOR)
- **Authorized official phone:** (919) 641-0162

## Contact information

- **Practice address:** 2002 OTIS ST, DURHAM, NC 27707-3110
- **Practice address phone:** (919) 530-1440
- **Mailing address:** 305 SHALIMAR DR, DURHAM, NC 27713-7571
- **Mailing address phone:** (919) 544-1033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-032-346 | NC | Yes |

## Other

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