Organization
JCTOD OUTREACH, INC
Active
Other names
Johnson Park Center
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA MEIER CRPA (VP/COO)
(315) 269-8580
Entity
Organization
Contact information
Practice address
26 JOHNSON PARK, UTICA, NY 13503-0160
(315) 734-9608
(315) 266-1223
Mailing address
PO BOX 160, UTICA, NY 13503-0160
(315) 734-9608
(315) 266-1223
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261Q00000X
Clinic/Center
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/21/2015
Last updated
02/13/2026
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