Organization
OUTREACH RECOVERY II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISIAH COLES (COO)
(561) 502-3978
Entity
Organization
Contact information
Practice address
2999 NE 191ST ST STE 300, MIAMI, FL 33180-3115
(410) 800-4466
Mailing address
4201 NORTHVIEW DR STE 104, BOWIE, MD 20716-2655
(410) 800-4466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100142379
—
MD
Enumeration date
04/12/2021
Last updated
04/29/2026
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