Outreach Recovery Ii

LBN: Outreach Recovery Ii
Outreach Recovery Ii is an health care organization with primary practice located at 222 N Charles St Ste 101B , Baltimore MD 21201-4032. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Outreach Recovery Ii can be contacted via phone (410) 800-4466, or through Coles, Isiah via phone (561) 502-3978.

Contact Information

Primary practice address
222 N Charles St Ste 101B Baltimore MD 21201-4032
Phone: (410) 800-4466
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coles, Isiah
Phone: (561) 502-3978

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X

Profile Details

NPI number 1346825486
LBN Legal business name Outreach Recovery Ii
DBA Doing business as
Authorized official Coles, Isiah
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2021
Last updated Mar 10th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346825486 NPPES
Maryland MEDICAID 100170888

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