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Organization
OTL COMMUNITY SERVICES
Active
Organization
OTL COMMUNITY SERVICES
Active
Other names
Good Neighbor Outpatient Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA GREENE (CEO)
(513) 884-8926
Entity
Organization
Contact information
Practice address
9201 ARBORETUM PKWY STE 300, NORTH CHESTERFIELD, VA 23236-5407
(855) 355-7001
(804) 251-0989
Mailing address
9201 ARBORETUM PKWY STE 300, NORTH CHESTERFIELD, VA 23236-5407
(804) 520-4600
(833) 525-0063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
748-07-004
DBHDS
VA
05
—
748-07-004
—
VA
Enumeration date
03/14/2011
Last updated
11/07/2025
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