Outreach Recovery Ii, Llc
LBN: Outreach Recovery Ii, Llc
Outreach Recovery Ii, Llc is an health care organization with primary practice located at 30 W Gude Dr Ste 375 , Rockville MD 20850-4300. The organization recently has 2 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 / Addiction (Substance Use Disorder) is the primary health care specialty.
Outreach Recovery Ii, Llc can be contacted via phone (410) 800-4466, or through Coles, Isiah via phone (561) 502-3978.
Contact Information
Primary practice address
30 W Gude Dr Ste 375
Rockville MD 20850-4300
Phone: (410) 800-4466
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1639795248 |
|---|---|
| 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 19th, 2020 |
| Last updated | Jun 19th, 2020 - about 5 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 | 1639795248 | NPPES |
| Maryland | MEDICAID | 8249491676 |
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