OUTREACH RECOVERY II NPI 1346825486

NPI Information

  • NPI: 1346825486
  • Provider Name: OUTREACH RECOVERY II
  • Classification: Internal Medicine - 207RA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 222 N CHARLES ST STE 101B
    BALTIMORE, MD
    ZIP 21201
  • Phone: (410) 800-4466

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NPI Details

OUTREACH RECOVERY II is an addiction medicine internal medicine in Baltimore, MD. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. OUTREACH RECOVERY II NPI is 1346825486. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

222 N CHARLES ST STE 101B
BALTIMORE, MD
ZIP 21201-032
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 enumeration date for this NPI number is 3/10/2021 and was last updated on 3/10/2021.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RA0401XInternal MedicineAddiction MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100170888MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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