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NPI Profile for OUTREACH RECOVERY II LLC in GLEN BURNIE, MD.
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Psychiatric/Mental Health, Adult |
163WP0809X |
| NPI Number | 1215593785 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/10/2019 | |
| Last updated | 07/31/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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OUTREACH RECOVERY II, LLC
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OUTREACH RECOVERY II, LLC