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
935 SHOTWELL RD, CLAYTON, NC 27520-5597
(919) 251-9001
Mailing address
935 SHOTWELL RD, CLAYTON, NC 27520-5597
(919) 251-9001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NC
251S00000X
Community/Behavioral Health Agency
—
NC
Other
Enumeration date
03/10/2014
Last updated
03/14/2014
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