| Outreach Recovery Ii, Llc | |
|
11340 Pembrooke Sq Ste 214 Waldorf MD 20603-4808 | |
| (877) 889-4829 | |
| Not Available |
| Full Name | Outreach Recovery Ii, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 11340 Pembrooke Sq Ste 214, Waldorf, 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 Ste 201 Laurel MD 20707-5252 Ph: (410) 800-4466 | Outreach Recovery Ii, Llc 11340 Pembrooke Sq Ste 214 Waldorf MD 20603-4808 Ph: (877) 889-4829 |
| NPI Number | 1003431099 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 12/01/2023 |
| Certification Date | 12/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003431099 | NPI | - | NPPES |
| 8249491676 | Medicaid | MD |
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