Outreach Recovery II
Outreach Recovery II is an Internal Medicine Physician in Great Mills, Maryland. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
22330 Chancellors Run Rd Unit AGreat Mills, MD 20634-2424
Phone: (410) 800-4466
Fax: (410) 705-5024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RA0401X |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X |
Record details
| NPI number | 1194308692 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Isiah Coles — Coo · (561) 502-3978 |
| NPI enumerated | May 3, 2021 |
| Last updated in NPPES | May 3, 2021 |
| Certification date | May 3, 2021 |
| Mailing address | 4201 Northview Dr Ste 104, Bowie, MD 20716-2655 |