Provider Demographics
NPI:1386932929
Name:CONNECTING HEARTS OUTREACH, INC.
Entity type:Organization
Organization Name:CONNECTING HEARTS OUTREACH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF EXCECUTIVE/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SHANEEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-320-5113
Mailing Address - Street 1:545 RACHEL LN
Mailing Address - Street 2:
Mailing Address - City:GRIMESLAND
Mailing Address - State:NC
Mailing Address - Zip Code:27837-9246
Mailing Address - Country:US
Mailing Address - Phone:252-320-5113
Mailing Address - Fax:
Practice Address - Street 1:545 RACHEL LN
Practice Address - Street 2:
Practice Address - City:GRIMESLAND
Practice Address - State:NC
Practice Address - Zip Code:27837-9246
Practice Address - Country:US
Practice Address - Phone:252-320-5113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-18
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health