Outreach Home # 4 | |
3007 Dearborn Dr Durham NC 27704-2303 | |
(919) 220-0607 | |
(919) 477-4700 |
Full Name | Outreach Home # 4 |
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Speciality | Clinic/center - Adult Mental Health |
Location | 3007 Dearborn Dr, Durham, North Carolina |
Authorized Official Name and Position | Joy N. Okeke (ADMINISTRATOR) |
Authorized Official Contact | 9192018914 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Outreach Home # 4 305 Shalimar Dr Durham NC 27713-7571 Ph: (919) 641-0162 | Outreach Home # 4 3007 Dearborn Dr Durham NC 27704-2303 Ph: (919) 220-0607 |
NPI Number | 1194866608 |
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Provider Enumeration Date | 02/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194866608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | MHL-032-394 (North Carolina) | Primary |
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