PRIMARY HOPE OUTREACH CENTER LLC NPI 1033991906

NPI Information

NPI: 1033991906
Provider Name: PRIMARY HOPE OUTREACH CENTER LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1724 SETTER DR
BURLINGTON, NC
ZIP 27217
Phone: (336) 417-4164
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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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	251S00000X	Community/Behavioral Health		No
3	261Q00000X	Clinic/Center		No
4	261QC1500X	Clinic/Center	Community Health	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
6	261QM0850X	Clinic/Center	Adult Mental Health	No
7	261QM2800X	Clinic/Center	Methadone	No
8	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
9	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
10	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
11	324500000X	Substance Abuse Rehabilitation Facility		No
12	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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