Outreach Recovery Ii

LBN: Outreach Recovery Ii
Outreach Recovery Ii is an health care organization with primary practice located at 1831 Forest Dr Ste E , Annapolis MD 21401-4430. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Allopathic & Osteopathic Physicians / Family Medicine. Nursing Service Providers / Psychiatric/Mental Health, Adult 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
1831 Forest Dr Ste E Annapolis MD 21401-4430
Phone: (410) 800-4466
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coles, Isiah
Phone: (561) 502-3978

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1518523075
LBN Legal business name Outreach Recovery Ii
DBA Doing business as
Authorized official Coles, Isiah
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2019
Last updated Mar 5th, 2021 - about 3 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 1518523075 NPPES
Maryland MEDICAID 777797300

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