Developmental Therapy Outreach Services

LBN: Developmental Therapy Outreach Services
Developmental Therapy Outreach Services is an health care organization with primary practice located at 4506 Tyne Dr , Durham NC 27703-2891. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Developmental Therapy Outreach Services can be contacted via phone (919) 596-5047, or through Cooper, Sajina via phone (919) 381-1112.

Contact Information

Primary practice address
4506 Tyne Dr Durham NC 27703-2891
Phone: (919) 596-5047
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Sajina
Phone: (919) 381-1112

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1225222896
LBN Legal business name Developmental Therapy Outreach Services
DBA Doing business as
Authorized official Cooper, Sajina
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2007
Last updated Aug 28th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225222896 NPPES
North Carolina MEDICAID 8302047K
North Carolina MEDICAID 8302047

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