Organization
OUTLETS FOR HOPE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE IGWEOBI MS,BSN,RN (EXECUTIVE DIRECTOR)
(508) 340-1657
Entity
Organization
Contact information
Practice address
4 MAIN ST STE G2, BROCKTON, MA 02301-4027
(508) 840-1657
(888) 340-8272
Mailing address
4 MAIN ST STE G2, BROCKTON, MA 02301-4027
(508) 840-1657
(888) 340-8272
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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