Out of the Blue Innovations LLC
NPI #1508654005 in Hampstead, North Carolina
Provider Information
- NPI Number
- 1508654005
- Entity Type
- Organization
- Organization Name
- Out of the Blue Innovations LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 25, 2025
- Last Updated
- Apr 25, 2025
Practice Location
- Address
- 77 BUCCANEER BLVD
- City
- Hampstead
- State
- North Carolina
- ZIP Code
- 28443-7167
- Phone
- (910) 228-6673
Authorized Official
- Name
- LORI ADCOCK, BBA, CEAC, ATP
- Title
- OWNER
- Phone
- (910) 228-6673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
| Community/Behavioral Health |
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| Provider Name | |
|---|---|
| Briana Marie Kelly |
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| Superior Innovative Services, LLC | |
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