Outreach Recovery Ii
LBN: Outreach Recovery Ii
Outreach Recovery Ii is an health care organization with primary practice located at 22330 Chancellors Run Rd Unit A , Great Mills MD 20634-2424. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty.
Outreach Recovery Ii can be contacted via phone (410) 800-4466, or through Coles, Isiah via phone (561) 502-3978.
Contact Information
Primary practice address
22330 Chancellors Run Rd Unit A
Great Mills MD 20634-2424
Phone: (410) 800-4466
Fax: (410) 705-5024
Website:
Authorized official contact:
Name: Coles, Isiah Athletic Trainer, Certified (ATC)
Phone: (561) 502-3978
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X |
Profile Details
| NPI number | 1194308692 |
|---|---|
| LBN Legal business name | Outreach Recovery Ii |
| DBA Doing business as | |
| Authorized official | Coles, Isiah Athletic Trainer, Certified (ATC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2021 |
| Last updated | May 3rd, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194308692 | NPPES |
| Other | 20634 | ZIP CODE |
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