| Community Outreach Enrichment Center Inc. | |
|
329 Brady Street Ext Ramseur NC 27316-8703 | |
| (336) 824-2595 | |
| Not Available |
| Full Name | Community Outreach Enrichment Center Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 329 Brady Street Ext, Ramseur, North Carolina |
| Authorized Official Name and Position | Holly Annette Gray (ADMINISTATOR) |
| Authorized Official Contact | 3368242595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Outreach Enrichment Center Inc. Po Box 1153 329 Brady Street Ext. Ramseur NC 27316 Ph: (336) 824-2595 | Community Outreach Enrichment Center Inc. 329 Brady Street Ext Ramseur NC 27316-8703 Ph: (336) 824-2595 |
| NPI Number | 1215216700 |
|---|---|
| Provider Enumeration Date | 08/15/2011 |
| Last Update Date | 03/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215216700 | NPI | - | NPPES |
| 7200564 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 76000398 (North Carolina) | Primary |
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