| Outreach Recovery Ii, Llc | |
|
21552 Thames Ave Ste 201 Lexington Park MD 20653-4079 | |
| (410) 800-4466 | |
| Not Available |
| Full Name | Outreach Recovery Ii, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 21552 Thames Ave Ste 201, Lexington Park, Maryland |
| Authorized Official Name and Position | Isiah Coles (COO) |
| Authorized Official Contact | 5615023978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach Recovery Ii, Llc 14205 Park Center Dr # 201202 Laurel MD 20707-5246 Ph: (410) 800-4466 | Outreach Recovery Ii, Llc 21552 Thames Ave Ste 201 Lexington Park MD 20653-4079 Ph: (410) 800-4466 |
| NPI Number | 1275310302 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275310302 | NPI | - | NPPES |
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