| Outlook Forensic And Behavioral Health | |
|
1254 Mann Dr Suite 100 Matthews NC 28105-5545 | |
| (704) 841-3886 | |
| (704) 841-3889 |
| Full Name | Outlook Forensic And Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1254 Mann Dr, Matthews, North Carolina |
| Authorized Official Name and Position | Jonathan Keith Stoudmire (PRESIDENT) |
| Authorized Official Contact | 7046995296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outlook Forensic And Behavioral Health 1254 Mann Dr Suite 100 Matthews NC 28105-5545 Ph: (704) 841-3886 | Outlook Forensic And Behavioral Health 1254 Mann Dr Suite 100 Matthews NC 28105-5545 Ph: (704) 841-3886 |
| NPI Number | 1003248808 |
|---|---|
| Provider Enumeration Date | 08/02/2013 |
| Last Update Date | 08/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003248808 | NPI | - | NPPES |
| 5900927 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 200500827 (North Carolina) | Primary |
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