| Outreach Housing And Community Inc | |
|
135 North Cleveland Memphis TN 38104-2002 | |
| (800) 274-1843 | |
| (800) 274-1843 |
| Full Name | Outreach Housing And Community Inc |
|---|---|
| Speciality | Psychologist - Rehabilitation |
| Location | 135 North Cleveland, Memphis, Tennessee |
| Authorized Official Name and Position | Shalonda Nakia Adams (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8002741843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach Housing And Community Inc 135 North Cleveland Memphis TN 38104-2002 Ph: (800) 274-1843 | Outreach Housing And Community Inc 135 North Cleveland Memphis TN 38104-2002 Ph: (800) 274-1843 |
| NPI Number | 1306297460 |
|---|---|
| Provider Enumeration Date | 06/29/2016 |
| Last Update Date | 06/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306297460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | L000000017975 (Tennessee) | Primary |
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