# OUTREACH RECOVERY II

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

## Provider details

- **NPI number:** 1811619380
- **Authorized official:** GINNY HAYDEN (LICENSING MANAGER)
- **Authorized official phone:** (240) 728-5864

## Contact information

- **Practice address:** 716 MAIDEN CHOICE LN, CATONSVILLE, MD 21228-5943
- **Practice address phone:** (800) 850-1890
- **Mailing address:** 14205 PARK CENTER DR \# 201202, LAUREL, MD 20707-5246
- **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 |

## Other

- **Enumeration date:** 09/13/2022
- **Last updated:** 07/31/2024