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Organization

OUTREACH ADVOCACY CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAIGE LOGAN (EXECUTIVE DIRECTOR)
(765) 237-8894
Entity
Organization

Contact information

Practice address
2300 FERRY ST STE B, LAFAYETTE, IN 47904-3060
(765) 237-8894
Mailing address
2300 FERRY ST STE B, LAFAYETTE, IN 47904-3060
(765) 237-8894

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
261QC1500X
Community Health Clinic/Center
Primary

Other

Enumeration date
10/17/2024
Last updated
10/17/2024
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