OUTREACH RECOVERY II NPI 1720668049

NPI Information

NPI: 1720668049
Provider Name: OUTREACH RECOVERY II
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
801 SE 6TH AVE STE 202C
DELRAY BEACH, FL
ZIP 33483
Phone: (410) 800-4466
Get Directions

OUTREACH RECOVERY II is an addiction medicine internal medicine in Delray Beach, FL. 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 1720668049. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

801 SE 6TH AVE STE 202C
DELRAY BEACH, FL
ZIP 33483-185
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 4/12/2021 and was last updated on 4/12/2021.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	207RA0401X	Internal Medicine	Addiction Medicine	Yes

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
1	100142379	MEDICAID	MARYLAND

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: 5/5/2024

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