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Stephens Outreach Center, Inc
Emotionally Disturbed Childrens' Residential Treatment Facility in Tabor City, North Carolina
NPI 1790921716

Stephens Outreach Center, Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Tabor City, NC. Stephens Outreach Center, Inc practices in Tabor City, NC. The NPI Number for Stephens Outreach Center, Inc is 1790921716 and holds a License No. (North Carolina).

The current practice location address for Stephens Outreach Center, Inc is 105 W 5Th St, Tabor City, NC and can be reached out via phone at 910-653-5553.

Location: 105 W 5Th St, Tabor City, NC, 28463-1923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790921716
Provider Name
Stephens Outreach Center, Inc
Credential
Provider Entity Type
Organization
Address
105 W 5Th St, Tabor City, NC, 28463-1923
Phone Number
910-653-5553
Fax Number
Provider Enumeration Date
12/22/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6006568 05 NC
6604154 05 NC
8301487B 05 NC
institution
Provider Business Practice Location Address Details
Address
105 W 5Th St
City
Tabor City
State
North Carolina
Zip
28463-1923
Phone Number
910-653-5553
Fax Number
person
Provider Business Mailing Address Details
Address
105 W 5Th St
City
Tabor City
State
North Carolina
Zip
28463-1923
Phone Number
910-653-5553
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MHL078149 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
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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