| Stephens Outreach Center, Inc | |
|
105 W 5th St Tabor City NC 28463-1923 | |
| (910) 653-5553 | |
| Not Available |
| Full Name | Stephens Outreach Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 105 W 5th St, Tabor City, North Carolina |
| Authorized Official Name and Position | Melvin J Stephens (CEO) |
| Authorized Official Contact | 9103084847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephens Outreach Center, Inc 105 W 5th St Tabor City NC 28463-1923 Ph: (910) 653-5553 | Stephens Outreach Center, Inc 105 W 5th St Tabor City NC 28463-1923 Ph: (910) 653-5553 |
| NPI Number | 1790921716 |
|---|---|
| Provider Enumeration Date | 12/22/2008 |
| Last Update Date | 12/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790921716 | NPI | - | NPPES |
| 6006568 | Medicaid | NC | |
| 6604154 | Medicaid | NC | |
| 8301487B | Medicaid | NC |
Premier Behavioral Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Industrial Park Road, Tabor City, NC 28463 Phone: 910-653-3040 Fax: 910-653-3040 |