Organization
CAROLINA OUTREACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM REID MSW, LCSW (CO-DIRECTOR)
(919) 251-9001
Entity
Organization
Contact information
Practice address
1823 CHAPEL HILL RD, DURHAM, NC 27707-1100
(919) 251-9001
(919) 251-9008
Mailing address
2670 DURHAM CHAPEL HILL BLVD, DURHAM, NC 27707-2829
(919) 251-9001
(919) 251-9008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NC
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
3410049
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300219
—
NC
Enumeration date
08/18/2010
Last updated
07/14/2021
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