NPI 1518523075

Outreach Recovery II

Organisation Addiction Medicine (Preventive Medicine) Physician Annapolis, MD

Practice location

Address: 1831 Forest Dr STE E, Annapolis, MD 21401-4430
Phone: (410) 800-4466
Mailing address: 4201 Northview Dr STE 104, Bowie, MD 20716-2604

Authorised official

Name: Isiah Coles
Title: Coo
Phone: (561) 502-3978

Registered specialties (3)

Addiction Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0300X

Other Preventive Medicine providers in Maryland →

Adult Psychiatric/Mental Health Registered Nurse

Nursing Service Providers Taxonomy 163WP0809X

Other Registered Nurse providers in Maryland →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Maryland →

Registry record

NPI: 1518523075
Entity type: Organization
NPI issued: 10 May 2019
Record last updated: 5 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.