Provider Demographics
NPI:1891938361
Name:B2G OUTREACH SERVICES, INC.
Entity Type:Organization
Organization Name:B2G OUTREACH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OSWALD
Authorized Official - Middle Name:
Authorized Official - Last Name:NWOGBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-454-7725
Mailing Address - Street 1:2310 S MIAMI BLVD
Mailing Address - Street 2:SUITE #138
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-5798
Mailing Address - Country:US
Mailing Address - Phone:919-454-7725
Mailing Address - Fax:919-231-3736
Practice Address - Street 1:2310 S MIAMI BLVD
Practice Address - Street 2:SUITE #138
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-5798
Practice Address - Country:US
Practice Address - Phone:919-454-7725
Practice Address - Fax:919-231-3736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health