Outreach Recovery II
NPI #1114614526 in Lexington Park, Maryland
Provider Information
- NPI Number
- 1114614526
- Entity Type
- Organization
- Organization Name
- Outreach Recovery II
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OUTREACH RECOVERY II
- Primary Specialty
- Internal Medicine - Addiction Medicine
- Enumeration Date
- Apr 18, 2023
- Last Updated
- Jul 31, 2024
Practice Location
- Address
- 21552 THAMES AVE STE 201202
- City
- Lexington Park
- State
- Maryland
- ZIP Code
- 20653-4009
- Phone
- (410) 800-4466
Authorized Official
- Name
- ISIAH COLES
- Title
- COO
- Phone
- (561) 502-3978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Addiction Medicine — Addiction Medicine |
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