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Organization

STREET OUTREACH HEALTHCARE

Active
Other names
Power Medical Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
MARDOSHA PEEK (CEO)
(318) 751-7173
Entity
Organization

Contact information

Practice address
2379 GUS THOMASSON RD STE 400, MESQUITE, TX 75150-5302
(318) 751-7173
Mailing address
2379 GUS THOMASSON RD STE 400, MESQUITE, TX 75150-5302
(318) 751-7173

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
05/21/2024
Last updated
05/21/2024
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