Outreach Community Services in Fayetteville - Community Based Residential Treatment Facility, Mental Illness
Outreach Community Services - NPI 1699893370
Outreach Community Services is a Community Based Residential Treatment Facility, Mental Illness in Fayetteville, North Carolina. Outreach Community Services practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Outreach Community Services is 1699893370. The last update date is 2020-08-22.
Outreach Community Services's current location address is 5922 Rustlewood Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9102738153. The mailing address for Outreach Community Services is 5922 Rustlewood Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Outreach Community Services |
|---|---|
| Address | 5922 Rustlewood Dr, Fayetteville, North Carolina |
| Phone Number | 9102738153 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Marshall P Cynthia |
| Telephone Number | 9102738153 |
NPI Number Detail
| NPI Number | 1699893370 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5922 Rustlewood Dr |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283045675 |
| Phone Number | 9102738153 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the unique 10-digit identifier code issued to Outreach Community Services by the Centers for Medicare & Medicaid Services?
The Outreach Community Services has been assigned the NPI (National Provider Identifier) 1699893370 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Outreach Community Services is physically located?
The Outreach Community Services is physically situated at the following address: 5922 Rustlewood Dr, Fayetteville, NC, 283045675.
What is the Outreach Community Services's area of specialization and corresponding taxonomy classification?
The Outreach Community Services's specialty field is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their specialties.
On what date did the Outreach Community Services receive its 1699893370 assignment from the Centers for Medicare & Medicaid Services?
The Outreach Community Services was assigned its 1699893370 by the Centers for Medicare & Medicaid Services on 2007-03-27.
When was the information related to Outreach Community Services most recently updated or refreshed?
The details pertaining to the Outreach Community Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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