OrganizationActive
Outreach Recovery II
NPI 1194308692 · Addiction Medicine (Internal Medicine) Physician · Great Mills, MD
Provider details
- NPI number
- 1194308692
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Isiah Coles, Coo
Practice location
22330 Chancellors Run Rd Unit a
Great Mills, MD 20634-2424
Phone: (410) 800-4466
Fax: (410) 705-5024
Mailing address
4201 Northview Dr Ste 104
Bowie, MD 20716-2655
Registry dates
- Enumerated
- 2021-05-03
- Last updated
- 2021-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.