| Stephens Outreach Center, Inc | |
|
2105b Elizabethtown Road Lumberton NC 28358-3107 | |
| (910) 738-7865 | |
| (910) 738-7876 |
| Full Name | Stephens Outreach Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2105b Elizabethtown Road, Lumberton, North Carolina |
| Authorized Official Name and Position | Melvin Stephens (CEO) |
| Authorized Official Contact | 9107387865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephens Outreach Center, Inc 2105b Elizabethtown Road Lumberton NC 28358-3107 Ph: (910) 738-7865 | Stephens Outreach Center, Inc 2105b Elizabethtown Road Lumberton NC 28358-3107 Ph: (910) 738-7865 |
| NPI Number | 1952554388 |
|---|---|
| Provider Enumeration Date | 10/29/2008 |
| Last Update Date | 04/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952554388 | NPI | - | NPPES |
| 6604154 | Medicaid | NC | |
| 8301487B | Medicaid | NC |
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