Organization · Type 2 NPI

Outreach Home #3.

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Durham, NC

NPI number 1649496928 Active

Practice location

1717 N Alston Ave
Durham, NC 27701-2301

Mailing address

305 Shalimar Dr
Durham, NC 27713-7571

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XMHL-032-355 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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.

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About NPI 1649496928

Outreach Home #3.'s National Provider Identifier is 1649496928, issued on Apr 17, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Durham, NC. The record was last updated on Jun 16, 2008.