Organization
OUTREACH RECOVERY II
Active
Parent organization
OUTREACH RECOVERY II
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUTREACH RECOVERY II
Authorized official
ISIAH COLES (COO)
(561) 502-3978
Entity
Organization
Contact information
Practice address
21552 THAMES AVE STE 201202, LEXINGTON PARK, MD 20653-4009
(410) 800-4466
Mailing address
14205 PARK CENTER DR # 201202, LAUREL, MD 20707-5246
(410) 800-4466
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
07/31/2024
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