| Outreach Recovery Ii | |
|
716 Maiden Choice Ln Catonsville MD 21228-5943 | |
| (800) 850-1890 | |
| Not Available |
| Full Name | Outreach Recovery Ii |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 716 Maiden Choice Ln, Catonsville, Maryland |
| Authorized Official Name and Position | Ginny Hayden (LICENSING MANAGER) |
| Authorized Official Contact | 2407285864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach Recovery Ii 14205 Park Center Dr # 201202 Laurel MD 20707-5246 Ph: (410) 800-4466 | Outreach Recovery Ii 716 Maiden Choice Ln Catonsville MD 21228-5943 Ph: (800) 850-1890 |
| NPI Number | 1811619380 |
|---|---|
| Provider Enumeration Date | 09/13/2022 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811619380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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