# OUTREACH TREATMENT CENTER OF FLORIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** N/A
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306218623
- **Authorized official:** MARISSA SANTANA OWNER-MANAGER-CEO (MANAGER/CEO)
- **Authorized official phone:** (305) 596-4045

## Contact information

- **Practice address:** 9290 SUNSET DR., SUITE \# 106, BLDG. \#2, MIAMI, FL 33173
- **Practice address phone:** (305) 596-4045
- **Practice address fax:** (305) 596-4047
- **Mailing address:** 9290 SUNSET DR., SUITE \# 106, BLDG. \#2, MIAMI, FL 33173
- **Mailing address phone:** (305) 596-4045
- **Mailing address fax:** (305) 596-4047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | MT 3043 | FL | — |

## Other

- **Enumeration date:** 10/26/2015
- **Last updated:** 11/15/2016