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OUTREACH RECOVERY II, LLC
NPI 1801452362
Preventive Medicine - Addiction Medicine in Waldorf, MD

Active since May 10, 2019
11340 PEMBROOKE SQ STE 214, WALDORF, MD 20603(410) 800-4466 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2024, Jan 2, 2020, Jun 11, 2019 and 1 more (4 updates tracked since 2019).

About Outreach Recovery Ii, Llc NPPES

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

OUTREACH RECOVERY II, LLC (NPI 1801452362) is a healthcare organization registered as an addiction medicine in Waldorf, Maryland and active in the NPI registry since May 2019. The organization lists Isiah Coles, Coo, as its authorized official.

NPPES Registry Identity

NPI1801452362
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameOUTREACH RECOVERY II, LLC
Location Address11340 PEMBROOKE SQ STE 214Waldorf, MD 20603-4808
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 DateMay 10, 2019
Last NPPES UpdateJuly 31, 20244 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1801452362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X
11340 PEMBROOKE SQ STE 214, Waldorf, MD 20603
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Other Identifiers 1

Medicaid777797300MD

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.

OUTREACH RECOVERY II, LLC
Counselor (Addiction (Substance Use Disorder))
11340 PEMBROOKE SQ STE 214
WALDORF, MD 20603
Charles County (877) 889-4829
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Family Medicine
11340 PEMBROOKE SQ STE 214
WALDORF, MD 20603
Charles County (301) 609-5006

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 1801452362. It was assigned to this organization in the NPPES registry on May 10, 2019.

Where is Outreach Recovery II, LLC located?

Outreach Recovery II, LLC is located at 11340 Pembrooke Sq Ste 214, Waldorf, MD 20603. The listed phone number is (410) 800-4466.

What is Outreach Recovery II, LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Outreach Recovery II, LLC 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.