| Stratford Outreach,inc. | |
|
3329 Wrightsville Ave Ste K Wilmington NC 28403-4101 | |
| (910) 264-5045 | |
| (910) 799-5747 |
| Full Name | Stratford Outreach,inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3329 Wrightsville Ave Ste K, Wilmington, North Carolina |
| Authorized Official Name and Position | Tameka Machae Davis (PRESIDENT) |
| Authorized Official Contact | 9102645045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stratford Outreach,inc. Po Box 12221 Durham NC 27709-2221 Ph: (910) 264-5045 | Stratford Outreach,inc. 3329 Wrightsville Ave Ste K Wilmington NC 28403-4101 Ph: (910) 264-5045 |
| NPI Number | 1043349442 |
|---|---|
| Provider Enumeration Date | 03/04/2007 |
| Last Update Date | 01/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043349442 | NPI | - | NPPES |
| 8301746 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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