Organization
JEG'S OUTREACH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMIE L COX JR. (ADMINISTRATOR)
(910) 864-9909
Entity
Organization
Contact information
Practice address
2324 HOPE MILLS RD, FAYETTEVILLE, NC 28304-4230
(910) 864-9909
(910) 488-3401
Mailing address
2324 HOPE MILLS RD, FAYETTEVILLE, NC 28304-4230
(910) 864-9909
(910) 488-3401
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409597
—
NC
Enumeration date
03/05/2007
Last updated
03/12/2008
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