Lawrence Edward Graham Jr Youth Outreach Facility, Inc
NPI 1700062205 · Mental Illness Community Based Residential Treatment Facility · Red Springs, NC
Lawrence Edward Graham Jr Youth Outreach Facility, Inc is a Mental Illness Community Based Residential Treatment Facility organization in Red Springs, NC (NPI 1700062205).
Provider details
- NPI number
- 1700062205
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Rondla Phillip, Owner, President, Ceo(910) 964-5034
- License
- MHL-078-201 (NC)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense MHL-078-201 (NC)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-14
- Last updated
- 2008-01-14
Frequently asked questions
- What is Lawrence Edward Graham Jr Youth Outreach Facility, Inc's NPI number?
- Lawrence Edward Graham Jr Youth Outreach Facility, Inc's National Provider Identifier (NPI) is 1700062205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lawrence Edward Graham Jr Youth Outreach Facility, Inc?
- Lawrence Edward Graham Jr Youth Outreach Facility, Inc is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Lawrence Edward Graham Jr Youth Outreach Facility, Inc located?
- Lawrence Edward Graham Jr Youth Outreach Facility, Inc's practice location on file with NPPES is 9431 Nc Highway 211 W, Red Springs, NC 28377-6001.
- What is Lawrence Edward Graham Jr Youth Outreach Facility, Inc's phone number?
- The practice phone number listed in the NPPES registry for Lawrence Edward Graham Jr Youth Outreach Facility, Inc is (910) 843-5976.
- Who is the authorized official for Lawrence Edward Graham Jr Youth Outreach Facility, Inc?
- The authorized official listed on Lawrence Edward Graham Jr Youth Outreach Facility, Inc's NPPES record is Rondla Phillip, Owner, President, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lawrence Edward Graham Jr Youth Outreach Facility, Inc's NPI active?
- Yes — Lawrence Edward Graham Jr Youth Outreach Facility, Inc's NPI (1700062205) is active in the NPPES registry as of the last update on 2008-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.