Organization
COMMUNITY OUTREACH NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FASHENDA LITTLE (OPERATIONS MANAGER)
(704) 695-2380
Entity
Organization
Contact information
Practice address
8639 CARLY LN E, MINT HILL, NC 28227-7040
(704) 695-2380
Mailing address
8639 CARLY LN E, MINT HILL, NC 28227-7040
(704) 695-2380
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TBA
—
VA
Enumeration date
09/14/2011
Last updated
09/14/2011
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