OUTREACH RECOVERY II, LLC
NPI 1639795248
Counselor - Addiction (Substance Use Disorder) 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: August 09, 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 1639795248) is a healthcare organization registered as an addiction (substance use disorder) 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

NPI1639795248
Entity TypeOrganization
Primary Taxonomy101YA0400X
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
Organization SubpartNo
Authorized OfficialIsiah ColesCoo · (561) 502-3978
Enumeration DateJune 19, 2020
NPPES CertifiedJune 19, 2020
NPI 1639795248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
30 W GUDE DR STE 375, Rockville, MD 20850

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.

Internal Medicine (Addiction Medicine)
30 W GUDE DR STE 375
ROCKVILLE, MD 20850
Chiropractor
30 W GUDE DR STE 375
ROCKVILLE, MD 20850

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 1639795248. 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 Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.