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 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Allopathic & Osteopathic Physicians / Family Medicine 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
11340 Pembrooke Sq Ste 214
Waldorf MD 20603-4808
Phone: (410) 800-4466
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X |
Profile Details
| NPI number | 1801452362 |
|---|---|
| LBN Legal business name | Outreach Recovery Ii, Llc |
| DBA Doing business as | |
| Authorized official | Coles, Isiah |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2019 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801452362 | NPPES |
| Maryland | MEDICAID | 777797300 |
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