Organization Active NPI

Outreach Services, LTD

  • Mental Illness Community Based Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1043653645
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
CRF-462 Issued in VA
Legal business name
OUTREACH SERVICES, LTD
Practice address
2306 Edenbrook Dr
Richmond, VA 23228-3010
Phone
(804) 426-6323
Fax
(804) 794-6996
NPI assigned
Apr 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dexter Edward Williams
Title
Owner
Phone
(804) 426-6323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X CRF-462 VA Primary

Addresses

Primary practice location

2306 Edenbrook Dr
Richmond, VA 23228-3010

Mailing address

318 N Arch Rd
Suite 201
North Chesterfield, VA 23236-3567
Phone (804) 426-6323

National Provider Directory

National Provider Directory

Locations

318 N Arch Rd
Ste 201
North Chesterfield, VA 23236
Phone (804) 299-9227

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1043653645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N ARCH RD",
            "address_2": "SUITE 201",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363567",
            "telephone_number": "804-426-6323",
            "fax_number": "804-794-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 EDENBROOK DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232283010",
            "telephone_number": "804-426-6323",
            "fax_number": "804-794-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-426-6323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "CRF-462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.