Organization
CAROLINA OUTREACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MITCHELL VEDDER (CFO)
(703) 844-1007
Entity
Organization
Contact information
Practice address
1001A HARDEE RD, KINSTON, NC 28504-3323
(910) 298-7167
Mailing address
1001A HARDEE RD, KINSTON, NC 28504-3323
(910) 298-7167
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3410049
NC
Other
Enumeration date
08/13/2013
Last updated
01/11/2023
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