Provider Demographics
NPI:1821869637
Name:SWAIN COMMUNITY OUTREACH
Entity Type:Organization
Organization Name:SWAIN COMMUNITY OUTREACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LSCW, LCAS, CCS
Authorized Official - Phone:828-399-0172
Mailing Address - Street 1:PO BOX 1545
Mailing Address - Street 2:
Mailing Address - City:BRYSON CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28713-1545
Mailing Address - Country:US
Mailing Address - Phone:828-399-0172
Mailing Address - Fax:855-935-7308
Practice Address - Street 1:81 ACADEMY STREET
Practice Address - Street 2:
Practice Address - City:BRYSON CITY
Practice Address - State:NC
Practice Address - Zip Code:28713
Practice Address - Country:US
Practice Address - Phone:828-399-0172
Practice Address - Fax:855-935-7308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health