| Carolina Outreach, Llc | |
|
608 Nash St Ne Wilson NC 27893-3045 | |
| (252) 291-2200 | |
| Not Available |
| Full Name | Carolina Outreach, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 608 Nash St Ne, Wilson, North Carolina |
| Authorized Official Name and Position | Timothy H. Brooks (DIRECTOR) |
| Authorized Official Contact | 9192519001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Outreach, Llc 608 Nash St Ne Wilson NC 27893-3045 Ph: (252) 291-2200 | Carolina Outreach, Llc 608 Nash St Ne Wilson NC 27893-3045 Ph: (252) 291-2200 |
| NPI Number | 1902239130 |
|---|---|
| Provider Enumeration Date | 08/12/2013 |
| Last Update Date | 08/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902239130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3410049 (North Carolina) | Primary |
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