OrganizationActive
Outreach Recovery II
NPI 1366022683 · Addiction Medicine (Internal Medicine) Physician · Prince Frederick, MD
Provider details
- NPI number
- 1366022683
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Isiah Coles, Coo
Practice location
110 Hospital Rd Ste 306
Prince Frederick, MD 20678-4046
Phone: (410) 800-4466
Mailing address
14205 Park Center Dr # 201202
Laurel, MD 20707-5246
Registry dates
- Enumerated
- 2021-04-12
- Last updated
- 2024-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.