Outward Bound One Llc

LBN: Outward Bound One Llc
Outward Bound One Llc is an health care organization with primary practice located at 2141 Smyrna Rd Sw , Conyers GA 30094-6168. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Outward Bound One Llc can be contacted via phone (336) 382-9618, or through Mcdow, Derrick via phone (336) 382-9618.

Contact Information

Primary practice address
2141 Smyrna Rd Sw Conyers GA 30094-6168
Phone: (336) 382-9618
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcdow, Derrick
Phone: (336) 382-9618

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1699178673
LBN Legal business name Outward Bound One Llc
DBA Doing business as
Authorized official Mcdow, Derrick
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2014
Last updated Oct 3rd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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