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REACH OUT SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOHNNY LEE FLEMING (CEO / OWNER)
(252) 347-1359
Entity
Organization

Contact information

Practice address
185 FOXCROFT LN, WINTERVILLE, NC 28590-8621
(252) 347-1359
Mailing address
185 FOXCROFT LN, WINTERVILLE, NC 28590-8621
(252) 347-1359

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
03/09/2009
Last updated
03/09/2009
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