Provider Demographics
NPI:1720582588
Name:GLOBAL OUTREACH TELEREHABILITATION SERVICES INC.
Entity Type:Organization
Organization Name:GLOBAL OUTREACH TELEREHABILITATION SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:ALEXANDRIA
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:910-670-9088
Mailing Address - Street 1:214 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-5502
Mailing Address - Country:US
Mailing Address - Phone:910-491-8186
Mailing Address - Fax:910-808-1042
Practice Address - Street 1:214 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5502
Practice Address - Country:US
Practice Address - Phone:910-491-8186
Practice Address - Fax:910-808-1042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22354101YA0400X
NC1-17-27316103K00000X
NCC0102121041C0700X
NCL004636133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty