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Organization
OUTREACH DEVELOPMENT CORPORATION
Active
Organization
OUTREACH DEVELOPMENT CORPORATION
Active
Parent organization
OUTREACH DEVELOPMENT CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUTREACH DEVELOPMENT CORPORATION
Authorized official
MS. CHRISTINE CASIANO (VICE PRESIDENT OF OPERATIONS AND CO)
(718) 847-9233
Entity
Organization
Contact information
Practice address
11711 MYRTLE AVE, RICHMOND HILL, NY 11418-1751
(718) 847-9233
(718) 849-1093
Mailing address
11711 MYRTLE AVE, RICHMOND HILL, NY 11418-1751
(718) 847-9233
(718) 849-1093
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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