Community Outreach Intense Family Services, Llc

LBN: Community Outreach Intense Family Services, Llc
Community Outreach Intense Family Services, Llc is an health care organization with primary practice located at 1112 Hadel Pl , Knightdale NC 27545-7511. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Community Outreach Intense Family Services, Llc can be contacted via phone (919) 791-8104, or through Mitchell, Jacqueline via phone (919) 791-8104.

Contact Information

Primary practice address
1112 Hadel Pl Knightdale NC 27545-7511
Phone: (919) 791-8104
Fax: (919) 266-0318
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Jacqueline
Phone: (919) 791-8104

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1790913366
LBN Legal business name Community Outreach Intense Family Services, Llc
DBA Doing business as
Authorized official Mitchell, Jacqueline
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2009
Last updated Jun 29th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790913366 NPPES
North Carolina MEDICAID 6604368
North Carolina MEDICAID 6604326

Popular Providers