Organization
COMMUNITY OUTREACH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W. NETTLES LPC,LCPC,MAC (OWNER/CLINICAL DIRECTOR)
(301) 345-1459
Entity
Organization
Contact information
Practice address
6215 GREENBELT RD, SUITE 206, BERWYN HEIGHTS, MD 20740-2355
(301) 345-1459
(301) 345-1305
Mailing address
6215 GREENBELT RD, SUITE 206, BERWYN HEIGHTS, MD 20740-2355
(301) 345-1459
(301) 345-1305
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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