Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lawrence Edward Graham Jr Youth Outreach Facility, Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1700062205

Lawrence Edward Graham Jr Youth Outreach Facility, Inc is a Mental Illness Community Based Residential Treatment Facility in Red Springs, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9431 Nc Highway 211 W
Red Springs, NC 28377-6001
Phone: (910) 843-5976
Fax: (910) 843-5976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence MHL-078-201 (NC)

Record details

NPI number1700062205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rondla Phillip — Owner, President, Ceo · (910) 964-5034
NPI enumeratedJanuary 14, 2008
Last updated in NPPESJanuary 14, 2008
Mailing addressPo Box 1952, Raeford, NC 28376-3952

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