PRIMARY HOPE OUTREACH CENTER LLC NPI 1033991906

NPI Information

  • NPI: 1033991906
  • Provider Name: PRIMARY HOPE OUTREACH CENTER LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 1724 SETTER DR
    BURLINGTON, NC
    ZIP 27217
  • Phone: (336) 417-4164

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NPI Details

PRIMARY HOPE OUTREACH CENTER LLC is a multi-specialty clinic center in Burlington, NC. PRIMARY HOPE OUTREACH CENTER LLC NPI is 1033991906. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1724 SETTER DR
BURLINGTON, NC
ZIP 27217-444
Phone: (336) 417-4164

The provider's authorized official is Rashaunda Lakei Pettiford .
The authorized official title is Owner and has the following contact phone number (336) 417-4164.

The enumeration date for this NPI number is 10/16/2023 and was last updated on 10/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2251S00000XCommunity/Behavioral HealthNo
3261Q00000XClinic/CenterNo
4261QC1500XClinic/CenterCommunity HealthNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
6261QM0850XClinic/CenterAdult Mental HealthNo
7261QM2800XClinic/CenterMethadoneNo
8261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
9320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
10320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
11324500000XSubstance Abuse Rehabilitation FacilityNo
12261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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