| Outreach Recovery Ii | |
|
22330 Chancellors Run Rd Unit A Great Mills MD 20634-2424 | |
| (410) 800-4466 | |
| (410) 705-5024 |
| Full Name | Outreach Recovery Ii |
|---|---|
| Speciality | Internal Medicine - Addiction Medicine |
| Location | 22330 Chancellors Run Rd Unit A, Great Mills, 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 4201 Northview Dr Ste 104 Bowie MD 20716-2655 Ph: (561) 502-3978 | Outreach Recovery Ii 22330 Chancellors Run Rd Unit A Great Mills MD 20634-2424 Ph: (410) 800-4466 |
| NPI Number | 1194308692 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194308692 | NPI | - | NPPES |
| 20634 | Other | ZIP CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | (* (Not Available)) | Primary |
Stephen P. Cafferty, D.o. & Associates,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22333 Greenview Pkwy, Unit 5a, Great Mills, MD 20634 Phone: 301-737-7885 Fax: 301-862-9882 |