Outreach Residential Services in Hope Mills - Residential Treatment Facility, Emotionally Disturbed Children
Outreach Residential Services - NPI 1437330560
Outreach Residential Services is a Residential Treatment Facility, Emotionally Disturbed Children in Hope Mills, North Carolina. Outreach Residential Services practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Outreach Residential Services is 1437330560. The last update date is 2007-11-16.
Outreach Residential Services's current location address is 5304 Hub Johnson Rd, Hope Mills, North Carolina. You can contact this provider via phone number 9104231855. The mailing address for Outreach Residential Services is 5304 Hub Johnson Rd, Hope Mills, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Outreach Residential Services |
|---|---|
| Address | 5304 Hub Johnson Rd, Hope Mills, North Carolina |
| Phone Number | 9104231855 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Freeman Alexander Richard |
| Telephone Number | 9104231855 |
NPI Number Detail
| NPI Number | 1437330560 |
|---|---|
| Provider Enumeration Date | 2007-11-16 |
| Last Updated Date | 2007-11-16 |
Provider Mailing Address Detail
| Address | 5304 Hub Johnson Rd |
|---|---|
| City | Hope Mills |
| State | North Carolina (NC) |
| Post Code | 283487820 |
| Phone Number | 9104231855 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-082-069 |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identifier code issued to Outreach Residential Services by the Centers for Medicare & Medicaid Services?
The Outreach Residential Services has been assigned the NPI (National Provider Identifier) 1437330560 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 physical location address of Outreach Residential Services?
The Outreach Residential Services is physically situated at 5304 Hub Johnson Rd, in the city of Hope Mills, state of NC, with the postal code 283487820.
What is Outreach Residential Services's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Outreach Residential Services is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy classification code that categorizes this area of expertise is 322D00000X.
When did Outreach Residential Services receive its 1437330560 assignment?
The Outreach Residential Services was assigned its 1437330560 on 2007-11-16, which is the date when this unique identifier was issued to the organization.
When was the information regarding Outreach Residential Services most recently updated?
The details pertaining to the Outreach Residential Services, including its address, specialty, and other relevant information, were last refreshed on 2007-11-16.