Organization
CAROLINA OUTREACH, LLC
Active
Parent organization
CAROLINA OUTREACH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA OUTREACH, LLC
Authorized official
TIMOTHY BROOKS (CO-DIRECTOR)
(919) 251-9001
Entity
Organization
Contact information
Practice address
5108 REAGAN DR STE 13&14, CHARLOTTE, NC 28206-3103
(704) 332-8787
Mailing address
5108 REAGAN DR STE 13&14, CHARLOTTE, NC 28206-3103
(704) 332-8787
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
08/03/2015
Last updated
03/14/2017
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