Organization
OUTLOOK FORENSIC AND BEHAVIORAL HEALTH, INC
Active
Parent organization
OUTLOOK FORENSIC AND BEHAVIORAL HEALTH, INC
Other names
Outlook Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUTLOOK FORENSIC AND BEHAVIORAL HEALTH, INC
Authorized official
DR. JONATHAN STOUDMIRE MD (PRESIDENT)
(704) 841-3886
Entity
Organization
Contact information
Practice address
3046B SENNA DR, MATTHEWS, NC 28105-6726
(704) 841-3886
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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