Organization
REALITY AWARENESS OUTREACH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC RIVERS JR. (EXECUTIVE DIRECTOR)
(315) 567-9934
Entity
Organization
Contact information
Practice address
117 S COLLINGWOOD AVE, SYRACUSE, NY 13206
(315) 567-9934
Mailing address
203 LUDDINGTON ST APT 2, SYRACUSE, NY 13206-3120
(315) 567-9934
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
01/04/2018
Last updated
12/24/2021
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