Healthcare Provider Details

I. General information

NPI: 1346199619
Provider Name (Legal Business Name): RESOLUTE OUTREACH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 BROADWAY ST STE B
DURHAM NC
27701-2402
US

IV. Provider business mailing address

8910 MIRAMAR PKWY STE 100
MIRAMAR FL
33025-4187
US

V. Phone/Fax

Practice location:
  • Phone: 984-286-5258
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ERIC RAINES JR.
Title or Position: PRES
Credential:
Phone: 984-286-5258