Organization
OUTREACH INVOLVEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA MICHELLE SMITH-HICKS (EXECUTIVE DIRECTOR)
(804) 303-1496
Entity
Organization
Contact information
Practice address
214 COWARDIN AVE, RICHMOND, VA 23224-2075
(804) 303-1496
(804) 303-1531
Mailing address
1618 HULL ST, RICHMOND, VA 23224-3806
(804) 303-4961
(804) 303-1531
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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