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General NPI Number Information
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NPI Number | 1336641638
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Entity Type | Organization
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Legal Business Name | TRUE OUTREACH INC.
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 7457 HARWIN DR STE 303H
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City | HOUSTON
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State | TX
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Zip | 77036-2027
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Country | US
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Telephone | 832-649-8038
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Fax | 832-831-1655
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Provider Business Mailing Address
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Address Line | 7457 HARWIN DR STE 303H
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City | HOUSTON
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State | TX
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Zip | 77036-2027
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Country | US
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Telephone | 832-649-3038
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Fax | 832-831-1655
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | AYOWOLE ADELEYE ADEOTI
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Credential | MS, MBA, LCASA, LCDC
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Telephone | 832-649-3083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 4265-4266
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License Number State | TX
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