| Outreach Recovery Ii, Llc | |
|
1410 Crain Hwy N Ste 7b Glen Burnie MD 21061-9304 | |
| (561) 502-3978 | |
| Not Available |
| Full Name | Outreach Recovery Ii, Llc |
|---|---|
| Speciality | Preventive Medicine - Addiction Medicine |
| Location | 1410 Crain Hwy N Ste 7b, Glen Burnie, 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 1410 Crain Hwy N Ste 7b Glen Burnie MD 21061-9304 Ph: (561) 502-3978 |
| NPI Number | 1215593785 |
|---|---|
| Provider Enumeration Date | 05/10/2019 |
| Last Update Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215593785 | NPI | - | NPPES |
| 100089627 | Medicaid | MD |
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