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Organization
OUTREACH DEVELOPMENT CORPORATION
Active
Organization
OUTREACH DEVELOPMENT CORPORATION
Active
Other names
Outreach Project
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE CASIANO (VICE PRESIDENT OF OPERATIONS AND CO)
(718) 847-9233
Entity
Organization
Contact information
Practice address
11711 MYRTLE AVENUE, RICHMOND HILL, NY 11418-1751
(718) 847-9233
(718) 849-1093
Mailing address
11711 MYRTLE AVENUE, RICHMOND HILL, NY 11418
(718) 847-9233
(718) 849-1093
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
061110561
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
070511273
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
081110563
NY
Other
Enumeration date
09/05/2006
Last updated
08/16/2021
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