Potter's House Outreach Corporation

NPI #1568622009 in Raeford, North Carolina

Provider Information

NPI Number
1568622009
Entity Type
Organization
Organization Name
Potter's House Outreach Corporation
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Jun 9, 2008
Last Updated
Jun 9, 2008

Practice Location

Address
105 HARVEST LN
ZIP Code
28376-6516
Phone
(910) 904-5791

Authorized Official

Name
MR. VINCENT TERRELL ROBINSON
Title
CEO
Phone
(910) 904-5791

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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