Organization
CAROLINA OUTREACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROB DAVIS (ADMIN SUPPORT)
(919) 251-9001
Entity
Organization
Contact information
Practice address
831 S BRIGHTLEAF BLVD, SMITHFIELD, NC 27577
(919) 251-9001
Mailing address
712 WILKINS ST STE D&E, SMITHFIELD, NC 27577-4664
(919) 251-9001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/24/2014
Last updated
05/31/2018
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