Street Outreach Healthcare

LBN: Street Outreach Healthcare
Street Outreach Healthcare is an health care organization with primary practice located at 2379 Gus Thomasson Rd Ste 400 , Mesquite TX 75150-5302. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Street Outreach Healthcare can be contacted via phone (318) 751-7173, or through Peek, Mardosha via phone (318) 751-7173.

Contact Information

Primary practice address
2379 Gus Thomasson Rd Ste 400 Mesquite TX 75150-5302
Phone: (318) 751-7173
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peek, Mardosha
Phone: (318) 751-7173

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1861231664
LBN Legal business name Street Outreach Healthcare
DBA Doing business as
Authorized official Peek, Mardosha
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2024
Last updated May 21st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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