# OUTREACH RECOVERY II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003431099
- **Authorized official:** ISIAH COLES (COO)
- **Authorized official phone:** (561) 502-3978

## Contact information

- **Practice address:** 11340 PEMBROOKE SQ STE 214, WALDORF, MD 20603-4808
- **Practice address phone:** (877) 889-4829
- **Mailing address:** 14205 PARK CENTER DR STE 201, LAUREL, MD 20707-5252
- **Mailing address phone:** (410) 800-4466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |

## Other

- **Enumeration date:** 06/15/2020
- **Last updated:** 12/01/2023