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Contact Information

OUTREACH RECOVERY II, LLC
14205 PARK CENTER DR # 201202
LAUREL, MD20707-5246
 Phone: 410-800-4466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for OUTREACH RECOVERY II, LLC

NPI Number 1427541838
LBN Legal business name OUTREACH RECOVERY II, LLC
Authorized official ISIAH COLES - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2018
Last updated 02/18/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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