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OUTREACH RECOVERY II, LLC
NPI 1386260990
Internal Medicine - Addiction Medicine in Rockville, MD

Active since June 19, 2020
30 W GUDE DR STE 375, ROCKVILLE, MD 20850(410) 800-4466 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Outreach Recovery Ii, Llc NPPES

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

OUTREACH RECOVERY II, LLC (NPI 1386260990) is a healthcare organization registered as an addiction medicine in Rockville, Maryland and active in the NPI registry since June 2020. The organization lists Isiah Coles, Coo, as its authorized official.

NPPES Registry Identity

NPI1386260990
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameOUTREACH RECOVERY II, LLC
Location Address30 W GUDE DR STE 375Rockville, MD 20850-4300
Mailing Address4201 Northview Dr Ste 104Bowie, MD 20716-2655 · (410) 800-4466
Phone(410) 800-4466
Organization SubpartNo
Authorized OfficialIsiah ColesCoo · (561) 502-3978
Enumeration DateJune 19, 2020
NPPES CertifiedJune 19, 2020
✔ NPI 1386260990 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
30 W GUDE DR STE 375, Rockville, MD 20850
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Other Identifiers 1

Medicaid8249491676MD

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JILLIAN CAMPBELL DC
Chiropractor
30 W GUDE DR STE 375
ROCKVILLE, MD 20850
Montgomery County (301) 545-0800
OUTREACH RECOVERY II, LLC
Counselor (Addiction (Substance Use Disorder))
30 W GUDE DR STE 375
ROCKVILLE, MD 20850
Montgomery County (410) 800-4466

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, LLC's NPI number?

The NPI number for Outreach Recovery II, LLC is 1386260990. It was assigned to this organization in the NPPES registry on June 19, 2020.

Where is Outreach Recovery II, LLC located?

Outreach Recovery II, LLC is located at 30 W Gude Dr Ste 375, Rockville, MD 20850. The listed phone number is (410) 800-4466.

What is Outreach Recovery II, LLC'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, LLC was last updated on June 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.