Outreach House

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OUTREACH HOUSE

Practice address

2276 S 7TH St
Camden, NJ 08104-2258

Phone

(856) 858-7720

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Mr. William A Ohlig

Title

Vice President

Phone

(856) 858-7760

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1508403403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARKET ST APT 322",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081022313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2276 S 7TH ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081042258",
            "telephone_number": "856-858-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "OHLIG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "856-858-7760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Oswari, M.D.
• Our Lady of Lourdes
• Our Lady of Lourdes Medical Center
• Our Lady of Lourdes Medical Center, Inc
• Our Lady of Lourdes Medical Center, Inc.
• Dana R Ovadia, C.R.N.P.
• McKeithan Dewayne Owens, LCADC
• Opeyemi Oyenusi, MD
• Zeynep Busra Ozdener, DO
• Elizabeth Packard, MD

• Community/Behavioral Health Agency in Camden, NJ
• Providers in Camden, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.