Organization
STREET OUTREACH SOLUTIONS,LLC
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAR'DOSHA PEEK (CHIEF EXECUTIVE OFFICER)
(318) 771-7707
Entity
Organization
Contact information
Practice address
2715 MACKEY PL STE 119, SHREVEPORT, LA 71118-2527
(318) 393-5407
Mailing address
2715 MACKEY PL STE 119, SHREVEPORT, LA 71118-2527
(318) 771-7707
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/08/2017
Last updated
06/23/2023
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