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Organization

FOUR DEANS COMMUNITY OUTREACH FOUNDATION INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ODETTA DEAN (EXECUTIVE DIRECTOR)
(917) 293-9601
Entity
Organization

Contact information

Practice address
15 W 118TH ST STE UG4, NEW YORK, NY 10026-1984
(929) 735-6915
Mailing address
15 W 118TH ST STE UG4, NEW YORK, NY 10026-1984
(929) 735-6915

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
133NN1002X
Nutrition Education Nutritionist
174H00000X
Health Educator
251300000X
Local Education Agency (LEA)
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
06/11/2025
Last updated
06/11/2025
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