Provider Demographics
NPI:1083000681
Name:COMMUNITY CARE AND OUTREACH, INC.
Entity Type:Organization
Organization Name:COMMUNITY CARE AND OUTREACH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:COOK-WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-401-8508
Mailing Address - Street 1:927 S GOLDWYN AVE
Mailing Address - Street 2:SUTIE 219
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-4324
Mailing Address - Country:US
Mailing Address - Phone:407-985-4236
Mailing Address - Fax:407-250-3445
Practice Address - Street 1:927 S GOLDWYN AVE
Practice Address - Street 2:SUTIE 219
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-4324
Practice Address - Country:US
Practice Address - Phone:407-985-4236
Practice Address - Fax:407-250-3445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management