STEPHENS OUTREACH CENTER, INC is a residential treatment facility emotionally disturbed children in Fairmont, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. STEPHENS OUTREACH CENTER, INC NPI is 1033252440. The provider is registered as an organization entity type.
The provider's business location address is:
608A MARTIN LUTHER KING DR
FAIRMONT, NC
ZIP 28340-312
Phone: (910) 308-4847
Fax: (910) 738-7876
The provider's authorized official is Melvin Junior Stephens .
The authorized official title is Owner and has the following contact phone number (910) 308-4847.
The CLIA number assigned to this NPI record is 34D2213602 - other - methadone clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/15/2007 and was last updated on 4/14/2015.