Organization · Type 2 NPI
Outreach Residential Services
Emotionally Disturbed Childrens' Residential Treatment Facility · Autryville, NC
Practice location
3520 Maxwell Rd
Autryville, NC 28318-8785
Mailing address
5304 Hub Johnson Rd
Hope Mills, NC 28348-7820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | MHL-082-069 (NC) |
Emotionally Disturbed Childrens' Residential Treatment Facility: 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.
About NPI 1437330560
Outreach Residential Services's National Provider Identifier is 1437330560, issued on Nov 16, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Autryville, NC. The record was last updated on Nov 16, 2007.