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Community Outreach Youth Services Llc
Children's Substance Abuse Rehabilitation Facility in Lumberton, North Carolina
NPI 1659813335

Community Outreach Youth Services Llc is a Children's Substance Abuse Rehabilitation Facility based in Lumberton, NC and is specialized in Substance Abuse Treatment, Children. Community Outreach Youth Services Llc practices in Lumberton, NC. The NPI Number for Community Outreach Youth Services Llc is 1659813335 and holds a License No. MHL-078-317 (North Carolina).

The current practice location address for Community Outreach Youth Services Llc is 177 Cardinal Ave, Lumberton, NC and can be reached out via phone at 910-827-0111. You can also correspond with Community Outreach Youth Services Llc through the mailing address at 177 CARDINAL AVE, LUMBERTON, NC - 28360-9386 (mailing address contact number: 910-827-0111).

Location: 177 Cardinal Ave, Lumberton, NC, 28360-9386
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659813335
Provider Name
Community Outreach Youth Services Llc
Credential
Provider Entity Type
Organization
Address
177 Cardinal Ave, Lumberton, NC, 28360-9386
Phone Number
910-827-0111
Fax Number
Provider Enumeration Date
11/10/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
177 Cardinal Ave
City
Lumberton
State
North Carolina
Zip
28360-9386
Phone Number
910-827-0111
Fax Number
person
Provider Business Mailing Address Details
Address
177 Cardinal Ave
City
Lumberton
State
North Carolina
Zip
28360-9386
Phone Number
910-827-0111
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
MHL-078-317 (North Carolina)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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