Outreach Recovery Ii
LBN: Outreach Recovery Ii
Outreach Recovery Ii is an health care organization with primary practice located at 716 Maiden Choice Ln Ste 302 , Catonsville MD 21228-5960. 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
716 Maiden Choice Ln Ste 302
Catonsville MD 21228-5960
Phone: (410) 800-4466
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X |
Profile Details
| NPI number | 1417532433 |
|---|---|
| LBN Legal business name | Outreach Recovery Ii |
| DBA Doing business as | |
| Authorized official | Coles, Isiah |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 11th, 2021 |
| Last updated | Mar 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417532433 | NPPES |
| Maryland | MEDICAID | 100170888 |
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