1. Home
  2. Directory
  3. Maryland
  4. Lexington Park
  5. Internal Medicine
  6. NPI Profile

OUTREACH RECOVERY II
NPI 1114614526
Internal Medicine - Addiction Medicine in Lexington Park, MD

Active since April 18, 2023
21552 THAMES AVE STE 201202, LEXINGTON PARK, MD 20653(410) 800-4466 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Outreach Recovery Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUTREACH RECOVERY II (NPI 1114614526) is a healthcare organization registered as an addiction medicine in Lexington Park, Maryland and active in the NPI registry since April 2023. The organization lists Isiah Coles, Coo, as its authorized official.

NPPES Registry Identity

NPI1114614526
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameOUTREACH RECOVERY II
Location Address21552 THAMES AVE STE 201202Lexington Park, MD 20653-4009
Mailing Address14205 Park Center Dr # 201202Laurel, MD 20707-5246 · (410) 800-4466
Phone(410) 800-4466
Organization SubpartYes
Authorized OfficialIsiah ColesCoo · (561) 502-3978
Enumeration DateApril 18, 2023
Last NPPES UpdateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1114614526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
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.
21552 THAMES AVE STE 201202, Lexington Park, MD 20653
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Outreach Recovery II's NPI number?

The NPI number for Outreach Recovery II is 1114614526. It was assigned to this organization in the NPPES registry on April 18, 2023.

Where is Outreach Recovery II located?

Outreach Recovery II is located at 21552 Thames Ave Ste 201202, Lexington Park, MD 20653. The listed phone number is (410) 800-4466.

What is Outreach Recovery II's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Outreach Recovery II was last updated on July 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.