Organization
OUTLOOK OUTPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON VAUGHAN DAVID LCADC, LCPC (PROGRAM DIRECTOR)
(301) 401-2047
Entity
Organization
Contact information
Practice address
21030 POINT LOOKOUT RD, #10, CALLAWAY, MD 20620-2339
(301) 401-2047
Mailing address
8417 MARKETREE CIR, MONTGOMERY VILLAGE, MD 20886-4952
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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