Core Outreach LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Fayetteville, NC. Organization (NPI-2).
Details
- NPI
- 1093662769
- Entity type
- Organization (NPI-2)
- Legal business name
- Core Outreach LLC
- Organization subpart
- No
- Enumeration date
- Mar 12, 2026
- Certification date
- Jul 14, 2026
- Last updated
- Jul 14, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – |
Practice location
1020 Cedar Creek RdFayetteville, NC 28312-6512
Phone 910-703-7776
Mailing address
1020 Cedar Creek RdFayetteville, NC 28312-6512
Phone 404-916-1104
Authorized official
Julia White
Owner
4049161104
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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