# THE G.T. OUTREACH PROGRAM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306080874
- **Authorized official:** MS. LIBBY WRIGHT (DIRECTOR)
- **Authorized official phone:** (520) 320-5437

## Contact information

- **Practice address:** 4888 E. BROADWAY, TUCSON, AZ 85711-3610
- **Practice address phone:** (520) 320-5437
- **Practice address fax:** (520) 881-2271
- **Mailing address:** 4888 E. BROADWAY, TUCSON, AZ 85711-3610
- **Mailing address phone:** (520) 320-5437
- **Mailing address fax:** (520) 881-2271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 251X00000X | Supports Brokerage Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2009
- **Last updated:** 04/28/2009