Organization
OUTREACH 12
Active
Other names
OUTREACH 12 Counseling Centers of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE SUSAN WEBSTER-NEAL LCDC/ADCIIID/ICADC (PROGRAM DIRECTOR)
(361) 568-3761
Entity
Organization
Contact information
Practice address
2208 PRIMROSE AVE, STE H-A, MCALLEN, TX 78504-4155
(956) 682-6889
(956) 682-6889
Mailing address
PO BOX 147, ENCINO, TX 78353-0147
(361) 325-4921
(361) 325-5768
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1918-A
TX
Other
Enumeration date
06/28/2005
Last updated
08/22/2020
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