Stephens Outreach Center, Inc

LBN: Stephens Outreach Center, Inc
Stephens Outreach Center, Inc is an health care organization with primary practice located at 105 W 5Th St , Tabor City NC 28463-1923. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Agencies / Community/Behavioral Health is the primary health care specialty. Stephens Outreach Center, Inc can be contacted via phone (910) 653-5553, or through Stephens, Melvin J via phone (910) 308-4847.

Contact Information

Primary practice address
105 W 5Th St Tabor City NC 28463-1923
Phone: (910) 653-5553
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stephens, Melvin J
Phone: (910) 308-4847

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL078149 North Carolina

Profile Details

NPI number 1790921716
LBN Legal business name Stephens Outreach Center, Inc
DBA Doing business as
Authorized official Stephens, Melvin J
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2008
Last updated Dec 22nd, 2008 - about 16 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 1790921716 NPPES
North Carolina MEDICAID 6006568
North Carolina MEDICAID 6604154
North Carolina MEDICAID 8301487B

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