Organization
OUTREACH HOME # 4
Active
Organization
OUTREACH HOME # 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY N. OKEKE RN (ADMINISTRATOR)
(919) 201-8914
Entity
Organization
Contact information
Practice address
3007 DEARBORN DR, DURHAM, NC 27704-2303
(919) 220-0607
(919) 477-4700
Mailing address
305 SHALIMAR DR, DURHAM, NC 27713-7571
(919) 641-0162
(919) 477-4700
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MHL-032-394
NC
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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