Organization
OUTREACH RECOVERY II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINNY HAYDEN (LICENSING MANAGER)
(240) 728-5864
Entity
Organization
Contact information
Practice address
716 MAIDEN CHOICE LN, CATONSVILLE, MD 21228-5943
(800) 850-1890
Mailing address
14205 PARK CENTER DR # 201202, LAUREL, MD 20707-5246
(410) 800-4466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
07/31/2024
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