| NPI | 1164675815 |
|---|---|
| Doing Business As | OUTWARD BOUND COMMUNITY SERVICES |
| Entity Type | Organization |
| Authorized Contact | TRISHONDA PATRICK Executive Director 336-553-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2016-06-17 |