Stephens Outreach Center, Inc
LBN: Stephens Outreach Center, Inc
Stephens Outreach Center, Inc is an health care organization with primary practice located at 608A Martin Luther King Dr , Fairmont NC 28340-1312. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty.
Stephens Outreach Center, Inc can be contacted via phone (910) 308-4847, or through Stephens, Melvin Junior via phone (910) 308-4847.
Contact Information
Primary practice address
608A Martin Luther King Dr
Fairmont NC 28340-1312
Phone: (910) 308-4847
Fax: (910) 738-7876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | MHL078149 | North Carolina |
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL078149 | North Carolina |
Profile Details
| NPI number | 1033252440 |
|---|---|
| LBN Legal business name | Stephens Outreach Center, Inc |
| DBA Doing business as | |
| Authorized official | Stephens, Melvin Junior |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Apr 14th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033252440 | NPPES |
| North Carolina | MEDICAID | 8301487 |
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