Organization
HARGRAVES OUTREACH INC.
Active
Organization
HARGRAVES OUTREACH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN HARGRAVES CESP, CSAC-I (EXECUTIVE DIRECTOR)
(919) 358-3730
Entity
Organization
Contact information
Practice address
6802 PARAGON PL STE 410, RICHMOND, VA 23230-1655
(919) 358-3730
(844) 892-9261
Mailing address
5020 ROBINWOOD RD, DURHAM, NC 27713-1634
(919) 358-3730
(844) 892-9261
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750837662
—
VA
Enumeration date
08/31/2016
Last updated
04/23/2019
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