| Community Outreach Network Llc | |
|
8639 Carly Ln E Mint Hill NC 28227-7040 | |
| (704) 695-2380 | |
| Not Available |
| Full Name | Community Outreach Network Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8639 Carly Ln E, Mint Hill, North Carolina |
| Authorized Official Name and Position | Fashenda Little (OPERATIONS MANAGER) |
| Authorized Official Contact | 7046952380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Outreach Network Llc 8639 Carly Ln E Mint Hill NC 28227-7040 Ph: (704) 695-2380 | Community Outreach Network Llc 8639 Carly Ln E Mint Hill NC 28227-7040 Ph: (704) 695-2380 |
| NPI Number | 1932481017 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 09/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932481017 | NPI | - | NPPES |
| TBA | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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