| Carolina Outreach, Llc | |
|
18 Regent Park Blvd Ste A Asheville NC 28806-3727 | |
| (828) 505-1762 | |
| (828) 505-1763 |
| Full Name | Carolina Outreach, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 18 Regent Park Blvd Ste A, Asheville, North Carolina |
| Authorized Official Name and Position | Willow Burgess-johnson (DIRECTOR, CAROLINA OUTREACH WEST) |
| Authorized Official Contact | 8285051762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Outreach, Llc 2670 Durham Chapel Hill Blvd Durham NC 27707-2829 Ph: (919) 251-9001 | Carolina Outreach, Llc 18 Regent Park Blvd Ste A Asheville NC 28806-3727 Ph: (828) 505-1762 |
| NPI Number | 1518110139 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 06/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518110139 | NPI | - | NPPES |
| 6006593 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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