Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Case Management |
163WC0400X | |||
Case Management |
251B00000X |
| NPI # | 1386529170 |
| LBN Legal business name | OUTREACH TLP LLC |
| Authorized official | LAQUITTA WILLIAMS - (CASE/CARE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/09/2025 |
| Last updated | 08/09/2025 - About 10 months ago |
| Identifiers | n/a |
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