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OUTREACH RECOVERY II
NPI 1417532433
Internal Medicine - Addiction Medicine in Catonsville, MD

Active since March 11, 2021
716 MAIDEN CHOICE LN STE 302, CATONSVILLE, MD 21228(410) 800-4466 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2024, Mar 11, 2021 (2 updates tracked since 2021).

About Outreach Recovery Ii NPPES

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

OUTREACH RECOVERY II (NPI 1417532433) is a healthcare organization registered as an addiction medicine in Catonsville, Maryland and active in the NPI registry since March 2021. The organization lists Isiah Coles, Coo, as its authorized official.

NPPES Registry Identity

NPI1417532433
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameOUTREACH RECOVERY II
Location Address716 MAIDEN CHOICE LN STE 302Catonsville, MD 21228-5960
Mailing Address14205 Park Center Dr # 201202Laurel, MD 20707-5246 · (410) 800-4466
Phone(410) 800-4466
Organization SubpartNo
Authorized OfficialIsiah ColesCoo · (561) 502-3978
Enumeration DateMarch 11, 2021
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1417532433 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
716 MAIDEN CHOICE LN STE 302, Catonsville, MD 21228
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Other Identifiers 1

Medicaid100170888MD

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

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

DR. KIRTIKANT I DESAI M.D.
Internal Medicine
716 MAIDEN CHOICE LN STE 302
BALTIMORE, MD 21228
Baltimore County (410) 747-1324

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 1417532433. It was assigned to this organization in the NPPES registry on March 11, 2021.

Where is Outreach Recovery II located?

Outreach Recovery II is located at 716 Maiden Choice Ln Ste 302, Catonsville, MD 21228. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.