| Southeast Community Outreach Llc | |
|
206 Enterprise St Chadbourn NC 28431-2104 | |
| (919) 824-6339 | |
| (800) 595-4571 |
| Full Name | Southeast Community Outreach Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 206 Enterprise St, Chadbourn, North Carolina |
| Authorized Official Name and Position | Theric Holt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9198246339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Community Outreach Llc Po Box 161 Whiteville NC 28472-0161 Ph: (919) 824-6339 | Southeast Community Outreach Llc 206 Enterprise St Chadbourn NC 28431-2104 Ph: (919) 824-6339 |
| NPI Number | 1871810341 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 04/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871810341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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