Carolina Outreach

LBN: Carolina Outreach
Carolina Outreach is an health care organization with primary practice located at 5108 Reagan Dr , Charlotte NC 28206-3103. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Carolina Outreach can be contacted via phone (704) 332-8787, or through Fitzgerald, Jeremy via phone (704) 565-9538.

Contact Information

Primary practice address
5108 Reagan Dr Charlotte NC 28206-3103
Phone: (704) 332-8787
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fitzgerald, Jeremy MS
Phone: (704) 565-9538

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1407585706
LBN Legal business name Carolina Outreach
DBA Doing business as
Authorized official Fitzgerald, Jeremy MS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2022
Last updated Jun 10th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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