| Outreach Development Corporation | |
|
11711 Myrtle Ave Richmond Hill NY 11418-1751 | |
| (718) 847-9233 | |
| (718) 849-1093 |
| Full Name | Outreach Development Corporation |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 11711 Myrtle Ave, Richmond Hill, New York |
| Authorized Official Name and Position | Christine Casiano (VICE PRESIDENT OF OPERATIONS AND CO) |
| Authorized Official Contact | 7188479233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach Development Corporation 11711 Myrtle Ave Richmond Hill NY 11418-1751 Ph: (718) 847-9233 | Outreach Development Corporation 11711 Myrtle Ave Richmond Hill NY 11418-1751 Ph: (718) 847-9233 |
| NPI Number | 1801564125 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 09/01/2021 |
| Certification Date | 08/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801564125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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