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OUTREACH RECOVERY II
NPI 1194308692
Internal Medicine - Addiction Medicine in Great Mills, MD

Active since May 03, 2021
22330 CHANCELLORS RUN RD UNIT A, GREAT MILLS, MD 20634(410) 800-4466(410) 705-5024 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Outreach Recovery Ii NPPES

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

OUTREACH RECOVERY II (NPI 1194308692) is a healthcare organization registered as an addiction medicine in Great Mills, Maryland and active in the NPI registry since May 2021. The organization lists Isiah Coles, Coo, as its authorized official.

NPPES Registry Identity

NPI1194308692
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameOUTREACH RECOVERY II
Location Address22330 CHANCELLORS RUN RD UNIT AGreat Mills, MD 20634-2424
Mailing Address4201 Northview Dr Ste 104Bowie, MD 20716-2655 · (561) 502-3978 · Fax (410) 705-5024
Phone(410) 800-4466
Fax(410) 705-5024
Organization SubpartNo
Authorized OfficialIsiah ColesCoo · (561) 502-3978
Enumeration DateMay 3, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1194308692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
22330 CHANCELLORS RUN RD UNIT A, Great Mills, MD 20634
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Other Identifiers 1

Other20634Zip Code

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 1194308692. It was assigned to this organization in the NPPES registry on May 3, 2021.

Where is Outreach Recovery II located?

Outreach Recovery II is located at 22330 Chancellors Run Rd Unit A, Great Mills, MD 20634. 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 May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.