Organization
CAROLINA OUTREACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY H. BROOKS MSW, LCSW (DIRECTOR)
(919) 251-9001
Entity
Organization
Contact information
Practice address
608 NASH ST NE, WILSON, NC 27893-3045
(252) 291-2200
Mailing address
608 NASH ST NE, WILSON, NC 27893-3045
(252) 291-2200
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3410049
NC
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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