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OUTREACH CITY NPI 1508387903


NPI Information

NPI: 1508387903
Provider Name: OUTREACH CITY

Doing Business As: OUTREACH CITY

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
201 17TH ST NW STE 300
ATLANTA, GA
ZIP 30363
Phone: (404) 458-9997
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OUTREACH CITY is a community behavioral health in Atlanta, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. OUTREACH CITY NPI is 1508387903. The provider is registered as an organization entity type.
The provider Is Doing Business As Outreach City.

The provider's business location address is:

201 17TH ST NW STE 300
ATLANTA, GA
ZIP 30363-191
Phone: (404) 458-9997

The provider's authorized official is Austin Benamon .
The authorized official title is Chief Executive Officer and has the following contact phone number (404) 458-9997.

The enumeration date for this NPI number is 7/6/2017 and was last updated on 6/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementGEORGIANo
2251B00000XCase ManagementOHIONo
3251S00000XCommunity/Behavioral HealthOHIONo
4252Y00000XEarly Intervention Provider AgencyGEORGIANo
5320800000XCommunity Based Residential Treatment Facility, Mental IllnessGEORGIANo
6251S00000XCommunity/Behavioral HealthGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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