OUTREACH DEVELOPMENT CORPORATION NPI 1801564125

NPI Information

NPI: 1801564125
Provider Name: OUTREACH DEVELOPMENT CORPORATION
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 33D2155457

Address:
11711 MYRTLE AVE
RICHMOND HILL, NY
ZIP 11418
Phone: (718) 847-9233
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OUTREACH DEVELOPMENT CORPORATION is an addiction (substance use disorder) counselor in Richmond Hill, NY. OUTREACH DEVELOPMENT CORPORATION NPI is 1801564125. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11711 MYRTLE AVE
RICHMOND HILL, NY
ZIP 11418-751
Phone: (718) 847-9233
Fax: (718) 849-1093

The provider's authorized official is Christine Casiano .
The authorized official title is Vice President Of Operations And Co and has the following contact phone number (718) 847-9233.

The CLIA number assigned to this NPI record is 33D2155457 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 9/1/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

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

NPI Synchronization or Removal

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