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Stephens Outreach Center, Inc
Emotionally Disturbed Childrens' Residential Treatment Facility in Fairmont, North Carolina
NPI 1033252440

Stephens Outreach Center, Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Fairmont, NC. Stephens Outreach Center, Inc practices in Fairmont, NC. The NPI Number for Stephens Outreach Center, Inc is 1033252440 and holds a License No. MHL078149 (North Carolina).

The current practice location address for Stephens Outreach Center, Inc is 608A Martin Luther King Dr, Fairmont, NC and can be reached out via phone at 910-308-4847 and via fax at 910-738-7876.

Location: 608A Martin Luther King Dr, Fairmont, NC, 28340-1123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033252440
Provider Name
Stephens Outreach Center, Inc
Credential
Provider Entity Type
Organization
Address
608A Martin Luther King Dr, Fairmont, NC, 28340-1123
Phone Number
910-308-4847
Fax Number
910-738-7876
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8301487 05 NC
institution
Provider Business Practice Location Address Details
Address
608A Martin Luther King Dr
City
Fairmont
State
North Carolina
Zip
28340-1312
Phone Number
910-308-4847
Fax Number
910-738-7876
person
Provider Business Mailing Address Details
Address
608A Martin Luther King Dr
City
Fairmont
State
North Carolina
Zip
28340-1312
Phone Number
910-308-4847
Fax Number
910-738-7876
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL078149 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL078149 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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