# OUTREACH ADVOCACY CENTER INC.

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

## Provider details

- **NPI number:** 1811718471
- **Authorized official:** PAIGE LOGAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (765) 237-8894

## Contact information

- **Practice address:** 2300 FERRY ST STE B, LAFAYETTE, IN 47904-3060
- **Practice address phone:** (765) 237-8894
- **Mailing address:** 2300 FERRY ST STE B, LAFAYETTE, IN 47904-3060
- **Mailing address phone:** (765) 237-8894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2024
- **Last updated:** 10/17/2024