Provider Demographics
NPI:1700665585
Name:FOR THE PEOPLE OUTREACH LLC
Entity type:Organization
Organization Name:FOR THE PEOPLE OUTREACH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-593-8334
Mailing Address - Street 1:10001 DEREKWOOD LN STE 103 104 & 114
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4804
Mailing Address - Country:US
Mailing Address - Phone:240-593-8334
Mailing Address - Fax:
Practice Address - Street 1:10001 DEREKWOOD LN
Practice Address - Street 2:STE 103 104 & 114
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4876
Practice Address - Country:US
Practice Address - Phone:240-593-8334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health