| Carolina Outreach, Llc | |
|
1001a Hardee Rd Kinston NC 28504-3323 | |
| (910) 298-7167 | |
| Not Available |
| Full Name | Carolina Outreach, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1001a Hardee Rd, Kinston, North Carolina |
| Authorized Official Name and Position | James Mitchell Vedder (CFO) |
| Authorized Official Contact | 7038441007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Outreach, Llc 1001a Hardee Rd Kinston NC 28504-3323 Ph: (910) 298-7167 | Carolina Outreach, Llc 1001a Hardee Rd Kinston NC 28504-3323 Ph: (910) 298-7167 |
| NPI Number | 1922431089 |
|---|---|
| Provider Enumeration Date | 08/13/2013 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922431089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3410049 (North Carolina) | Primary |
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