| NPI | 1104961861 |
|---|---|
| Former Legal Business Name | WORD OF LIFE OUTREACH INC |
| Entity Type | Organization |
| Authorized Contact | JEFFERY A JOHNSON President 910-371-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: NC 3418845) | |
| 251S00000X Community/Behavioral Health (Licence: NC MHL-010-061) | |
| 253J00000X Foster Care Agency (Licence: NC 197) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2012-02-27 |