| Community Outreach Family Services Llc | |
|
409 S Main St Emporia VA 23847-2313 | |
| (919) 561-3111 | |
| (866) 230-4856 |
| Full Name | Community Outreach Family Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 409 S Main St, Emporia, Virginia |
| Authorized Official Name and Position | Jacqueline Mitchell (CEO) |
| Authorized Official Contact | 9195613111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Outreach Family Services Llc 409 S Main St Emporia VA 23847-2313 Ph: (919) 561-3111 | Community Outreach Family Services Llc 409 S Main St Emporia VA 23847-2313 Ph: (919) 561-3111 |
| NPI Number | 1063817088 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 11/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063817088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1826 (Virginia) | Primary |
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