OrganizationActive
Outreach Recovery II, LLC
NPI 1386260990 · Addiction Medicine (Internal Medicine) Physician · Rockville, MD
Provider details
- NPI number
- 1386260990
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Isiah Coles, Coo(561) 502-3978
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
30 W Gude Dr Ste 375
Rockville, MD 20850-4300
Phone: (410) 800-4466
Approximate (ZIP-level) locationGet directions
Mailing address
4201 Northview Dr Ste 104
Bowie, MD 20716-2655
Registry dates
- Enumerated
- 2020-06-19
- Last updated
- 2020-06-19
- Certified
- 2020-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.