NPI 1003145665

Sam/Outreach Program

Organisation Specialist Lincolnton, NC

Practice location

Address: 114 E Main St STE. B, Lincolnton, NC 28092-2725
Phone: (704) 740-6512
Fax: (704) 735-4995
Mailing address: PO Box 1710, Lincolnton, NC 28093-1710

Authorised official

Name: Rosalind Terrelle Bynum
Title: Executive Director
Phone: (704) 740-6512

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MHL-055-114 (NC)

Other Specialist providers in North Carolina →

Registry record

NPI: 1003145665
Entity type: Organization
NPI issued: 10 Dec 2009
Record last updated: 10 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.