Healthcare Provider Details

I. General information

NPI: 1962729483
Provider Name (Legal Business Name): DHH COMMUNITY OUTREACH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2010
Last Update Date: 04/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

648 W WEBB AVE
BURLINGTON NC
27217-3777
US

IV. Provider business mailing address

425 CROSS ST
HENDERSON NC
27536-3277
US

V. Phone/Fax

Practice location:
  • Phone: 919-452-4252
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KEN HILL
Title or Position: OWNER
Credential:
Phone: 919-452-4252