OUTREACH RECOVERY II LLC NPI 1265077309

NPI Information

OUTREACH RECOVERY II, LLC is a rehabilitation and substance use disorder clinic center in Frederick, MD. OUTREACH RECOVERY II, LLC NPI is 1265077309. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Outreach Dimensions.

The provider's business location address is:

196 THOMAS JOHNSON DR STE 201
FREDERICK, MD
ZIP 21702-397
Phone: (410) 800-4466

The provider's authorized official is Isiah Coles .
The authorized official title is Coo and has the following contact phone number (561) 502-3978.

The CLIA number assigned to this NPI record is 21D2162857 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/13/2019 and was last updated on 12/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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