Organization · Type 2 NPI

Sam/outreach Program

Specialist · Lincolnton, NC

NPI number 1003145665 Active

Practice location

114 E Main St, Ste. B
Lincolnton, NC 28092-2725

Fax (704) 735-4995

Mailing address

PO Box 1710
Lincolnton, NC 28093-1710

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMHL-055-114 (NC)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003145665

Sam/outreach Program's National Provider Identifier is 1003145665, issued on Dec 10, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lincolnton, NC. The record was last updated on Dec 10, 2009.