NPI 1033252440

Stephens Outreach Center, INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Fairmont, NC

Practice location

Address: 608a Martin Luther King Dr, Fairmont, NC 28340-1312
Phone: (910) 308-4847
Fax: (910) 738-7876
Mailing address: PO Box 1462, Fairmont, NC 28340-1123

Authorised official

Name: Melvin Junior Stephens
Title: Owner
Phone: (910) 308-4847

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL078149 (NC)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in North Carolina →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence MHL078149 (NC)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1033252440
Entity type: Organization
NPI issued: 15 Feb 2007
Record last updated: 14 Apr 2015

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.