Word of Life Outreach of Cape Fear, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WORD OF LIFE OUTREACH OF CAPE FEAR, INC

Practice address

10225 Blackwell Rd SE
Leland, NC 28451-8515

Phone

(910) 233-7550

Fax

(910) 371-5302

NPI assigned

Jan 5, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeffery Allen Johnson, BA

Title

Ceo

Phone

(910) 547-8792

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1184928152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284510717",
            "telephone_number": "910-233-7550",
            "fax_number": "910-371-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 BLACKWELL RD SE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284518515",
            "telephone_number": "910-233-7550",
            "fax_number": "910-371-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORD OF LIFE OUTREACH OF CAPE FEAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-547-8792",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ruth Wizman, LCSW
• Marcus Keith Woodburn
• Word of Life Ourtreach of Cape Fear, Inc.
• Word of Life Outeach, Inc
• Word of Life Outreach of Cape Fear Inc
• Word of Life Outreach of Cape Fear, Inc.
• Skylar Young, RN
• Zak Behavioral Healthcare PLLC
• Allelia Koehler Cesa Zalvin
• Genevieve Zock

• Community/Behavioral Health Agency in Leland, NC
• Providers in Leland, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.