Outreach 12 in Mcallen - Rehabilitation, Substance Use Disorder
Outreach 12 - NPI 1699771212
Outreach 12 is a Rehabilitation, Substance Use Disorder in Mcallen, Texas. Outreach 12 practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Outreach 12 is 1699771212. The last update date is 2020-08-22.
Outreach 12's current location address is 2208 Primrose Ave, Mcallen, Texas. You can contact this provider via phone number 9566826889 and fax number 9566826889. The mailing address for Outreach 12 is 2208 Primrose Ave, Mcallen, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Outreach 12 |
|---|---|
| Address | 2208 Primrose Ave, Mcallen, Texas |
| Phone Number | 9566826889 |
| Fax Number | 9566826889 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM DI |
|---|---|
| Authorized Official Name | Webster-Neal Susan Jackie |
| Credentials | LCDC/ADCII |
| Telephone Number | 3615683761 |
NPI Number Detail
| NPI Number | 1699771212 |
|---|---|
| Provider Enumeration Date | 2005-06-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2208 Primrose Ave |
|---|---|
| City | Mcallen |
| State | Texas (TX) |
| Post Code | 7850441550 |
| Phone Number | 9566826889 |
| Fax Number | 9566826889 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | 1918-A |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Outreach 12?
The Outreach 12 has been issued the NPI (National Provider Identifier) 1699771212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Outreach 12 is physically located?
The Outreach 12 is situated at the following address: 2208 Primrose Ave, Mcallen, TX 7850441550.
What is the area of specialization for Outreach 12, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Outreach 12 is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of expertise is 261Qr0405X.
On what date did Outreach 12 receive its 1699771212 assignment from the Centers for Medicare & Medicaid Services?
The Outreach 12 was assigned its 1699771212 on 2005-06-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Outreach 12 last refreshed?
The information related to the Outreach 12, including its address, specialty, and other relevant details, was last updated on 2020-08-22.