Organization
REACHING OUT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAMEO NICOLE NICHOLS (ADMININSTOR)
(704) 904-8532
Entity
Organization
Contact information
Practice address
7005 SHANNON WILLOW RD, STE 300, CHARLOTTE, NC 28226-1300
(704) 904-8532
(704) 220-0607
Mailing address
7005 SHANNON WILLOW RD, STE 300, CHARLOTTE, NC 28226-1300
(704) 904-8532
(704) 220-0607
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
9601323
NC
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
08/13/2009
Last updated
01/13/2012
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