Organization
OUTREACH RESIDENTIAL SERVICES
Active
Other names
OUTREACH RESIDENTIAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ALEXANDER FREEMAN (OWNER)
(910) 423-1855
Entity
Organization
Contact information
Practice address
3520 MAXWELL RD, AUTRYVILLE, NC 28318-8785
(910) 423-1855
Mailing address
5304 HUB JOHNSON RD, HOPE MILLS, NC 28348-7820
(910) 423-1855
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-082-069
NC
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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