NPI | 1275807653 |
---|---|
Doing Business As | OUTLOOK BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | JONATHAN K. STOUDMIRE President 704-841-3886 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2012-03-01 |
Last Update Date | 2012-03-01 |