Organization
CAROLINA OUTREACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY H. BROOKS MSW, LCSW (CO-DIRECTOR)
(919) 251-9001
Entity
Organization
Contact information
Practice address
3012 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 615-1027
(919) 251-9008
Mailing address
3012 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 615-1027
(919) 251-9008
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6005418
NC
Other
Enumeration date
10/29/2013
Last updated
07/17/2014
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