Outreach 12

NPI #1699771212 in Mcallen, Texas

Provider Information

NPI Number
1699771212
Entity Type
Organization
Organization Name
Outreach 12
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Jun 28, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
2208 PRIMROSE AVE
Address 2
STE H-A
State
Texas
ZIP Code
78504-4155
Phone
(956) 682-6889

Authorized Official

Name
MRS. JACKIE SUSAN WEBSTER-NEAL, LCDC/ADCIIID/ICADC
Title
PROGRAM DIRECTOR
Phone
(361) 568-3761

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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