| Community Outreach Group, Llc | |
|
3600 N Duke St Durham NC 27704-1709 | |
| (919) 539-3659 | |
| (704) 943-0861 |
| Full Name | Community Outreach Group, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3600 N Duke St, Durham, North Carolina |
| Authorized Official Name and Position | Fashenda L Little (MEMBER) |
| Authorized Official Contact | 9195393659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Outreach Group, Llc Po Box 304 Wadesboro NC 28170-0304 Ph: (919) 539-3659 | Community Outreach Group, Llc 3600 N Duke St Durham NC 27704-1709 Ph: (919) 539-3659 |
| NPI Number | 1760659254 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760659254 | NPI | - | NPPES |
| TBA | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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