Outreach Recovery Ii, Llc

LBN: Outreach Recovery Ii, Llc
Outreach Recovery Ii, Llc is an health care organization with primary practice located at 11340 Pembrooke Sq Ste 214 , Waldorf MD 20603-4808. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Outreach Recovery Ii, Llc can be contacted via phone (877) 889-4829, or through Coles, Isiah via phone (561) 502-3978.

Contact Information

Primary practice address
11340 Pembrooke Sq Ste 214 Waldorf MD 20603-4808
Phone: (877) 889-4829
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coles, Isiah
Phone: (561) 502-3978

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1003431099
LBN Legal business name Outreach Recovery Ii, Llc
DBA Doing business as
Authorized official Coles, Isiah
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2020
Last updated Dec 1st, 2023 - about 2 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 1003431099 NPPES
Maryland MEDICAID 8249491676

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