Stephens Outreach Center, Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1033252440

Stephens Outreach Center, Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fairmont, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in: NC
In the registry since: 2007
Specialties on file: 2

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

608A Martin Luther King Dr
Fairmont, NC 28340-1312
Phone: (910) 308-4847
Fax: (910) 738-7876

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

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary)	Taxonomy 322D00000X · Licence MHL078149 (NC)
Intellectual and/or Developmental Disabilities Residential Treatment Facility	Taxonomy 320600000X · Licence MHL078149 (NC)

Record details

NPI number	1033252440
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Melvin Stephens — Owner · (910) 308-4847
NPI enumerated	February 15, 2007
Last updated in NPPES	April 14, 2015
Mailing address	Po Box 1462, Fairmont, NC 28340-1123