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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 # | 1750947222 |
| LBN Legal business name | OUTREACH RECOVERY II, LLC |
| Authorized official | ISIAH COLES - (COO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/10/2019 |
| Last updated | 12/01/2023 - About 3 years ago |
| Identifiers | n/a |
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OUTREACH RECOVERY II, LLC
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OUTREACH RECOVERY II, LLC