Provider Demographics
NPI:1265682835
Name:POSITIVEOUTLOOK SERVICES
Entity Type:Organization
Organization Name:POSITIVEOUTLOOK SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR / PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-915-5245
Mailing Address - Street 1:201 HYCO LANE
Mailing Address - Street 2:
Mailing Address - City:NORLINA
Mailing Address - State:NC
Mailing Address - Zip Code:27563-9998
Mailing Address - Country:US
Mailing Address - Phone:252-915-5245
Mailing Address - Fax:252-492-1236
Practice Address - Street 1:804 S GARNETT STREET
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-2590
Practice Address - Country:US
Practice Address - Phone:252-915-5245
Practice Address - Fax:252-492-1236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management